Evergreen Health and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

63-4021 Issued in MI

Legal business name

EVERGREEN HEALTH AND REHABILITATION CENTER, LLC

Doing business as

Evergreen Health and Living Center
Evergreen Health and Rehabilitation Center

Practice address

19933 W 13 Mile Rd
Southfield, MI 48076-1024

Phone

(248) 203-9000

Fax

(248) 203-9001

NPI assigned

Jun 23, 2005

Last updated

Jun 16, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Sowles

Title

Administrator

Phone

(248) 203-9000

Specialties & licenses 1

Addresses

Other names 2

• Evergreen Health and Living Center Doing business as
• Evergreen Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003812181. Details of each certification follow.

• CCN 235582 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235582

Legal name

EVERGREEN HEALTH AND REHABILITATION CENTER LLC

Doing business as

EVERGREEN HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 7, 1997

Last certification

Aug 7, 2024

Beds

172

Ownership / control type

Corporation

Multi-facility organization

Optalis Healthcare

Organization structure

LLCProprietary

Incorporated

Jul 12, 2019 in MI

Enrollment address

19933 W 13 Mile Rd
Southfield, MI 48076-1024

Nursing home name

EVERGREEN HEALTH AND REHABILITATION CENTER

Affiliated entity

OPTALIS HEALTH & REHABILITATION

Listed as

Evergreen Health and Rehabilitation CenterCCN 235582 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 7, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

172156.7 residents per day on average

Chain

Optalis Health & Rehabilitation36 facilities in the chain

Penalties (3 years)

1Fines totaling $28,815

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• William Beaumont Hospital

  dba Beaumont Professional Services

  • Cardiovascular Disease Physician
  • Royal Oak, MI
  • NPI 1861441164

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 64

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Khaled Imam

  • Geriatric Medicine (Internal Medicine) Physician
  • Royal Oak, MI
  • NPI 1902865454

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Belle Fountain Nursing & Rehabiliation Center Inc

  dba Belle Fountain Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Riverview, MI
  • NPI 1336106905

  Optum Management Solutions. Inc

  CMS ownership
• Diversified Rehab Services, LLC

  dba Greenfield Rehab and Nursing Center

  • Skilled Nursing Facility
  • Royal Oak, MI
  • NPI 1528251071

  Optum Management Solutions. Inc

  CMS ownership
• Lakeland Neuro Care Center Limited PTR

  dba The Lakeland Center

  • Skilled Nursing Facility
  • Southfield, MI
  • NPI 1538253687

  Optum Management Solutions. Inc

  CMS ownership
• Metro Man II Inc

  dba Four Seasons Nursing Center of Westland

  • Skilled Nursing Facility
  • Westland, MI
  • NPI 1649275959

  Optum Management Solutions. Inc

  CMS ownership
• Optalis Allen Park Opco LLC

  dba Optalis Health and Rehabilitation of Allen Park

  • Skilled Nursing Facility
  • Allen Park, MI
  • NPI 1700582384

  Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020

  CMS ownership
• Optalis Ann Arbor Opco LLC

  dba Optalis Health and Rehabilitation of Ann Arbor

  • Skilled Nursing Facility
  • Ann Arbor, MI
  • NPI 1437855012

  Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Fami

  CMS ownership
• Optalis Beltline Opco, LLC

  dba Optalis Health & Rehabilitation at Kent-Crossing

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1215723853

  Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020

  CMS ownership
• Optalis Bloomfield Hills Opco, LLC

  dba Optalis Health & Rehabilitation of Bloomfield Hills

  • Skilled Nursing Facility
  • Bloomfield Hills, MI
  • NPI 1205622842

  Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr F

  CMS ownership
• Optalis Canton Opco LLC

  dba Optalis Health and Rehabilitation of Canton

  • Skilled Nursing Facility
  • Canton, MI
  • NPI 1780380360

  Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, PI

  CMS ownership
• Optalis Dearborn Heights Opco LLC

  dba Optalis Health and Rehabilitation of Dearborn Heights

  • Skilled Nursing Facility
  • Dearborn Heights, MI
  • NPI 1598461170

  Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Fami

  CMS ownership
• Optalis Grand Rapids Opco LLC

  dba Optalis Health and Rehabilitation of Grand Rapids

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1043050081

  Optum Management Solutions. Inc, Paar 108 LLC

  CMS ownership
• Optalis Grosse Pointe Opco LLC

  dba Optalis Health and Rehabilitation of Grosse Pointe Woods

  • Skilled Nursing Facility
  • Grosse Pointe Woods, MI
  • NPI 1346946928

  Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, PI

  CMS ownership

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chadi Almhana, M,D

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1730464561
  NPD (past)
• Fouad Batah, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1285618983
  NPD (past)
• Khaled Imam

  • Geriatric Medicine (Internal Medicine) Physician
  • Royal Oak, MI
  • NPI 1902865454
  NPD (past)
• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996
  NPD (past)
• Danuta Eva Molenda, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Berkley, MI
  • NPI 1487745832
  NPD (past)
• Jad Said, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1558984294
  NPD (past)

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chadi Almhana, M,D

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1730464561

  Nursing home

  Care Compare affiliation
• Fouad Batah, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1285618983

  Nursing home

  Care Compare affiliation
• Khaled Imam

  • Geriatric Medicine (Internal Medicine) Physician
  • Royal Oak, MI
  • NPI 1902865454

  Nursing home

  Care Compare affiliation
• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996

  Nursing home

  Care Compare affiliation
• Danuta Eva Molenda, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Berkley, MI
  • NPI 1487745832

  Nursing home

  Care Compare affiliation
• Jad Said, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1558984294

  Nursing home

  Care Compare affiliation
• Frank Douglas Winters, DO

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1093785941

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1003812181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19933 W 13 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761024",
            "telephone_number": "248-203-9000",
            "fax_number": "248-203-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19933 W 13 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761024",
            "telephone_number": "248-203-9000",
            "fax_number": "248-203-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SOWLES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-203-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "63-4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Health and Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne Renee Evans, R.N.
• Evelyn Holist Group (Aisha Counseling Services)
• Everett B. Simmons,Jr.,M.D.,P.C.
• Evergreen Consulting Physicians PC
• Evergreen Dental Care
• Evergreen Home Health Care
• Emily Virginia Evers
• Everyday Pharmacy & Supply LLC
• Everything New Medical Care PLLC
• Evolution Skincare Studio

• Skilled Nursing Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.