EVERGREEN HEALTH & REHABLITATION CENTER
NPI 1598945065
Skilled Nursing Facility in Rome, GA

Active since November 13, 2007CLIA 11D1086593 · Waiver
139 MORAN LAKE RD NE, ROME, GA 30161(770) 736-3028 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Evergreen Health & Rehablitation Center NPPES

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

EVERGREEN HEALTH & REHABLITATION CENTER (NPI 1598945065) is a healthcare organization registered as a skilled nursing facility in Rome, Georgia and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Karen D Forrister, Vc/coo, as its authorized official.

NPPES Registry Identity

NPI1598945065
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSAS - MORAN LAKE, INC.
Location Address139 MORAN LAKE RD NERome, GA 30161-7767
Mailing Address3100 Five Forks Trickum Rd Sw, Suite 202Lilburn, GA 30047-1890 · (770) 736-3028 · Fax (770) 736-3345
Organization SubpartNo
Authorized OfficialKaren D ForristerVc/coo · (770) 736-3028
Enumeration DateNovember 13, 2007
NPI 1598945065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
139 MORAN LAKE RD NE, Rome, GA 30161

Other Names 1

Doing Business AsEvergreen Health & Rehablitation Center

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 11D1086593

Evergreen Health And Rehabilitation Center · Rome, GA
Active · expires Jul 15, 2028
CLIA Number11D1086593
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorDonald C. Evans
Laboratory Phone(706) 378-3383
Laboratory LocationEvergreen Health And Rehabilitation Center139 Moran Lake Road, Rome, GA 30161
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Occupational Therapy Assistant
139 MORAN LAKE RD NE
ROME, GA 30161
Skilled Nursing Facility
139 MORAN LAKE RD NE
ROME, GA 30161
Skilled Nursing Facility
139 MORAN LAKE RD NE
ROME, GA 30161

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 Sas - Moran Lake, Inc.'s NPI number?

The NPI number for Sas - Moran Lake, Inc. is 1598945065. It was assigned to this organization in the NPPES registry on November 13, 2007. The provider is doing business as Evergreen Health & Rehablitation Center.

Where is Sas - Moran Lake, Inc. located?

Sas - Moran Lake, Inc. is located at 139 Moran Lake Rd NE, Rome, GA 30161. The listed phone number is (770) 736-3028.

What is Sas - Moran Lake, Inc.'s specialty?

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

Does Sas - Moran Lake, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1086593) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sas - Moran Lake, Inc. was last updated on November 13, 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.