Evergreen at Ely, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EVERGREEN AT ELY, L.L.C.

Doing business as

White Pine Care Center

Practice address

1500 Avenue G
Ely, NV 89301-2539

Phone

(775) 289-8801

Fax

(775) 289-3208

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By 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

James Robert Preimesberger

Title

Manager

Phone

(213) 220-4808

Specialties & licenses 1

Addresses

Other names 1

• White Pine Care Center Doing business as

Locations

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1093339947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVENUE G",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVENUE G",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012539",
            "telephone_number": "775-289-8801",
            "fax_number": "775-289-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AT ELY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-220-4808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Pine Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen U. Collis, WHCNP
• Economy Drug, Inc.
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• Ely Shoshone Tribe (Newe Medical Clinic)
• Ely Shoshone Tribe (Newe Medical Clinic)
• Evergreen at Ely, L.L.C. (White Pine Care Center)
• Connor James Finklea, PA-C
• Curtis Ray Forbush, CRNA
• Rodney L Gamble, AEMT
• Garret Eugene Garber, PHARM D

• Skilled Nursing Facility in Ely, NV
• Providers in Ely, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.