EVERGREEN LAKEKPORT HEALTHCARE
NPI 1699723460
Skilled Nursing Facility in Lakeport, CA

Active since May 04, 2006
1291 CRAIG AVE, LAKEPORT, CA 95453(707) 263-6382(707) 263-7213 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Lakekport Healthcare NPPES

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

EVERGREEN LAKEKPORT HEALTHCARE (NPI 1699723460) is a healthcare organization registered as a skilled nursing facility in Lakeport, California and active in the NPI registry since May 2006. The organization lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1699723460
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN AT LAKEPORT, L.L.C.
Location Address1291 CRAIG AVELakeport, CA 95453-5704
Mailing Address1291 Craig AveLakeport, CA 95453-5704 · (360) 892-6628 · Fax (360) 882-5793
Fax(707) 263-7213
Organization SubpartYesParent: Empres California Healthcare, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1699723460 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 CA · 010000142
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.
1291 CRAIG AVE, Lakeport, CA 95453

Other Names 1

Doing Business AsEvergreen Lakekport Healthcare

Other Identifiers 2

Medicare OSCAR/certification555222CA
MedicaidLTC55222HCA

Other Providers at the Same Location NPPES 10

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

Speech-Language Pathologist
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapy Assistant
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapist
1291 CRAIG AVE
LAKEPORT, CA 95453
Physical Therapy Assistant
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapy Assistant
1291 CRAIG AVE
LAKEPORT, CA 95453
Speech-Language Pathologist
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapist
1291 CRAIG AVE
LAKEPORT, CA 95453
Nurse Practitioner (Adult Health)
1291 CRAIG AVE
LAKEPORT, CA 95453

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 At Lakeport, L.L.C.'s NPI number?

The NPI number for Evergreen At Lakeport, L.L.C. is 1699723460. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Evergreen Lakekport Healthcare.

Where is Evergreen At Lakeport, L.L.C. located?

Evergreen At Lakeport, L.L.C. is located at 1291 Craig Ave, Lakeport, CA 95453. The listed phone number is (707) 263-6382.

What is Evergreen At Lakeport, L.L.C.'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 At Lakeport, L.L.C. was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.