EVERGREEN HEALTH CARE CENTER
NPI 1053427609
Skilled Nursing Facility in Stafford Springs, CT
About Evergreen Health Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN HEALTH CARE CENTER (NPI 1053427609) is a healthcare organization registered as a skilled nursing facility in Stafford Springs, Connecticut and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Anna Romanowski, Director Of Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D0861583
Evergreen Health Care Center · Stafford Springs, CTOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAFFORD SPRINGS, CT 06076
STAFFORD SPRINGS, CT 06076
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Johnson Evergreen Corporation's NPI number?
The NPI number for Johnson Evergreen Corporation is 1053427609. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is also known as Evergreen Health Care Center.
Where is Johnson Evergreen Corporation located?
Johnson Evergreen Corporation is located at 205 Chestnut Hill Rd, Stafford Springs, CT 06076. The listed phone number is (860) 684-8714.
What is Johnson Evergreen Corporation's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Johnson Evergreen Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D0861583) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Johnson Evergreen Corporation was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.