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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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ev Bloomington Limited Partnership's NPI number?

The NPI number for Ev Bloomington Limited Partnership is 1881104289. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Evergreen Village At Bloomington.

Where is Ev Bloomington Limited Partnership located?

Ev Bloomington Limited Partnership is located at 3607 South Heirloom Drive, Bloomington, IN 47401. The listed phone number is (812) 336-2719.

What is Ev Bloomington Limited Partnership's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ev Bloomington Limited Partnership was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.