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EVERGREEN VILLAGE AT BLOOMINGTON
NPI 1881104289
Assisted Living Facility in Bloomington, IN

Active since October 11, 2017
3607 SOUTH HEIRLOOM DRIVE, BLOOMINGTON, IN 47401(812) 336-2719(812) 336-2723 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2024, Oct 11, 2023, Feb 14, 2020 and 2 more (5 updates tracked since 2017).

About Evergreen Village At Bloomington NPPES

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

EVERGREEN VILLAGE AT BLOOMINGTON (NPI 1881104289) is a healthcare organization registered as an assisted living facility in Bloomington, Indiana and active in the NPI registry since October 2017. The organization lists Greg Echols, Co-president Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1881104289
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEV BLOOMINGTON LIMITED PARTNERSHIP
Location Address3607 SOUTH HEIRLOOM DRIVEBloomington, IN 47401
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Phone(812) 336-2719
Fax(812) 336-2723
Organization SubpartNo
Authorized OfficialGreg EcholsCo-president Of Management Agent · (815) 935-1992
Enumeration DateOctober 11, 2017
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1881104289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3607 SOUTH HEIRLOOM DRIVE, Bloomington, IN 47401
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Other Names 1

Doing Business AsEvergreen Village At Bloomington

Frequently Asked Questions

What is EV BLOOMINGTON LIMITED PARTNERSHIP's NPI number?

The NPI number assigned to this healthcare provider is 1881104289, enumerated as an "organization" on October 11, 2017.

Where is the provider located?

The provider is located at 3607 SOUTH HEIRLOOM DRIVE BLOOMINGTON, IN 47401 and the phone number is (812) 336-2719.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.