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

NPI Status: Active since July 26, 2006

Contact Information

4007 W WENDOVER AVE
GREENSBORO, NC
ZIP 27407
Phone: (336) 292-8620
Fax: (336) 854-7122

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  • Organization
  • Skilled Nursing Facility

About EVERGREENS SENIOR HEALTHCARE SYSTEM

This page provides the complete NPI Profile along with additional information for Evergreens Senior Healthcare System, a provider established in Greensboro, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1366465403 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number NH0073 (NC). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Evergreens Senior Healthcare System. The authorized official of this NPI record is Ms. Marilyn Gardner Lnha (Administrator)

NPI
1366465403
Provider Legal Name
THE EVERGREENS, INC.
Other Organization Name
EVERGREENS SENIOR HEALTHCARE SYSTEM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4007 W WENDOVER AVE GREENSBORO, NC 27407
Location Phone
(336) 292-8620
Location Fax
(336) 854-7122
Mailing Address
4007 W WENDOVER AVE GREENSBORO, NC 27407
Mailing Phone
(336) 292-8620
Mailing Fax
(336) 854-7122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2006
Last Update Date
11-15-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
NH0073
License State
NC
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

NH0073 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARILYN GARDNER LNHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(336) 292-8620

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
345016MEDICARE OSCAR/CERTIFICATION (06)NC 
0308360001MEDICARE NSC (07)NC 
3405016MEDICAID (05)NC 
00829OTHER (01)NCBCBS OF NC PROVIDER NO
3406162MEDICAID (05)NC 
40251OTHER (01)NCPARTNERS INS PROVIDER NO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366465403, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 6 + 1 + 0 + 4 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366465403.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366465403, enumerated as an "organization" on July 26, 2006.

The provider is located at 4007 W WENDOVER AVE GREENSBORO, NC 27407 and the phone number is (336) 292-8620.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.