EVERGREENS SENIOR HEALTHCARE SYSTEM
NPI 1366465403
Skilled Nursing Facility in Greensboro, NC

Active since July 26, 2006
4007 W WENDOVER AVE, GREENSBORO, NC 27407(336) 292-8620(336) 854-7122 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreens Senior Healthcare System NPPES

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

EVERGREENS SENIOR HEALTHCARE SYSTEM (NPI 1366465403) is a healthcare organization registered as a skilled nursing facility in Greensboro, North Carolina and active in the NPI registry since July 2006. The organization lists Marilyn Gardner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366465403
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVERGREENS, INC.
Location Address4007 W WENDOVER AVEGreensboro, NC 27407-1904
Mailing Address4007 W Wendover AveGreensboro, NC 27407-1904 · (336) 292-8620 · Fax (336) 854-7122
Fax(336) 854-7122
Organization SubpartNo
Authorized OfficialMarilyn GardnerAdministrator · (336) 292-8620
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1366465403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0073
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License NH0073 (NC)
4007 W WENDOVER AVE, Greensboro, NC 27407

Other Names 1

Other NameEvergreens Senior Healthcare System

Other Identifiers 6

Medicare OSCAR/certification345016NC
Medicare NSC0308360001NC
Medicaid3405016NC
Other00829NC · Bcbs Of Nc Provider No
Medicaid3406162NC
Other40251NC · Partners Ins Provider No

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
4007 W WENDOVER AVE
GREENSBORO, NC 27407
Occupational Therapist
4007 W WENDOVER AVE
GREENSBORO, NC 27407
Physical Therapist
4007 W WENDOVER AVE
GREENSBORO, NC 27407
Speech-Language Pathologist
4007 W WENDOVER AVE
GREENSBORO, NC 27407

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 The Evergreens, Inc.'s NPI number?

The NPI number for The Evergreens, Inc. is 1366465403. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is also known as Evergreens Senior Healthcare System.

Where is The Evergreens, Inc. located?

The Evergreens, Inc. is located at 4007 W Wendover Ave, Greensboro, NC 27407. The listed phone number is (336) 292-8620.

What is The Evergreens, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for The Evergreens, Inc. was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.