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EVERGREEN NURSING HOME, LLC
NPI 1285693762
Nursing Facility/Intermediate Care Facility in Evergreen, AL

Active since March 22, 2006CLIA 01D0305029 · Waiver
5/5
Overall Rating
100 SANDERS DR, EVERGREEN, AL 36401(251) 578-3783(251) 578-3786 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Evergreen Nursing Home, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN NURSING HOME, LLC (NPI 1285693762) is a healthcare organization registered as a nursing facility/intermediate care facility in Evergreen, Alabama and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Noel Dunnam, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285693762
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEVERGREEN NURSING HOME, LLC
Location Address100 SANDERS DREvergreen, AL 36401-3306
Mailing Address501 Whetstone StMonroeville, AL 36460-2615 · (251) 743-3609 · Fax (251) 575-5618
Phone(251) 578-3783
Fax(251) 578-3786
Organization SubpartNo
Authorized OfficialNoel DunnamCfo · (251) 743-7137
Enumeration DateMarch 22, 2006
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1285693762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in AL · 12509
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
100 SANDERS DR, Evergreen, AL 36401
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Other Identifiers 1

Medicaid4750890SAL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 01D0305029

Evergreen Nursing Home · Evergreen, AL
Active · expires Jul 11, 2027
CLIA Number01D0305029
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorElizabeth Mccaskill Rn
Laboratory Phone(251) 578-3783
Laboratory LocationEvergreen Nursing Home100 Sanders Dr, Evergreen, AL 36401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Evergreen Nursing Home (CMS certification number 015089), from CMS Care Compare.

Evergreen Nursing Home

Nursing home · Evergreen, AL
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number015089
Certified Beds61 beds53 residents per day on average
Medicare & Medicaid Participant SinceOctober 17, 1967
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
8.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.56 · LPN 1.36 · RN 0.51
4.42 hrs per resident per day
Weekend Nurse Staffing
3.51 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
32.3%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Evergreen Nursing Home, LLC's NPI number?

The NPI number for Evergreen Nursing Home, LLC is 1285693762. It was assigned to this organization in the NPPES registry on March 22, 2006.

Where is Evergreen Nursing Home, LLC located?

Evergreen Nursing Home, LLC is located at 100 Sanders Dr, Evergreen, AL 36401. The listed phone number is (251) 578-3783.

What is Evergreen Nursing Home, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Evergreen Nursing Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0305029) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Nursing Home, LLC a Medicare-certified nursing home?

Yes. Evergreen Nursing Home is a Medicare-certified nursing home with 61 certified beds.

What quality rating does Evergreen Nursing Home, LLC have?

CMS rates Evergreen Nursing Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Evergreen Nursing Home, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Evergreen Nursing Home, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Nursing Home, LLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.