EVERGREEN HEALTH CARE CENTER, LLC
NPI 1811208077
Skilled Nursing Facility in Scranton, PA

Active since June 23, 2010
701 CLAY AVE, SCRANTON, PA 18510(570) 344-2800(570) 344-1977 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Health Care Center, Llc NPPES

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

EVERGREEN HEALTH CARE CENTER, LLC (NPI 1811208077) is a healthcare organization registered as a skilled nursing facility in Scranton, Pennsylvania and active in the NPI registry since June 2010. The organization lists Michael P Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1811208077
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN HEALTH CARE CENTER, LLC
Location Address701 CLAY AVEScranton, PA 18510-1759
Mailing Address401 Moltke AveScranton, PA 18505-2886 · (570) 969-2188 · Fax (570) 969-2189
Fax(570) 344-1977
Organization SubpartNo
Authorized OfficialMichael P KellyPresident · (570) 969-2188
Enumeration DateJune 23, 2010
Last NPPES UpdateSeptember 7, 2010
NPI 1811208077 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 PA · 133802
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.
701 CLAY AVE, Scranton, PA 18510

Other Identifiers 2

Medicare OSCAR/certification395155PA
Medicaid1024773960001PA

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 Health Care Center, LLC's NPI number?

The NPI number for Evergreen Health Care Center, LLC is 1811208077. It was assigned to this organization in the NPPES registry on June 23, 2010.

Where is Evergreen Health Care Center, LLC located?

Evergreen Health Care Center, LLC is located at 701 Clay Ave, Scranton, PA 18510. The listed phone number is (570) 344-2800.

What is Evergreen Health Care Center, LLC'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 Health Care Center, LLC was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.