EVERGREEN VALLEY NURSING HOME
NPI 1477540193
Skilled Nursing Facility in Plattsburgh, NY

Active since September 29, 2005
8 BUSHEY BLVD., PLATTSBURGH, NY 12901(518) 563-3261(518) 562-1367 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Valley Nursing Home NPPES

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

EVERGREEN VALLEY NURSING HOME (NPI 1477540193) is a healthcare organization registered as a skilled nursing facility in Plattsburgh, New York and active in the NPI registry since September 2005. The organization lists Ephraim Zagelbaum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477540193
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN VALLEY NURSING HOME
Location Address8 BUSHEY BLVD.Plattsburgh, NY 12901-3785
Mailing Address8 Bushey BlvdMorrisonville, NY 12901-3785 · (518) 563-3261 · Fax (518) 562-1367
Fax(518) 562-1367
Organization SubpartNo
Authorized OfficialEphraim ZagelbaumCeo · (914) 597-7600
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 21, 2015
NPI 1477540193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 0901301N
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.
8 BUSHEY BLVD., Plattsburgh, NY 12901

Other Identifiers 3

Medicaid02329757NY
Medicaid00308801NY
Medicare OSCAR/certification335528001NY

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 Valley Nursing Home's NPI number?

The NPI number for Evergreen Valley Nursing Home is 1477540193. It was assigned to this organization in the NPPES registry on September 29, 2005.

Where is Evergreen Valley Nursing Home located?

Evergreen Valley Nursing Home is located at 8 Bushey Blvd., Plattsburgh, NY 12901. The listed phone number is (518) 563-3261.

What is Evergreen Valley Nursing Home'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 Evergreen Valley Nursing Home was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.