Evergreen at Mountain View, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3331SNF-15 Issued in NV

Legal business name

EVERGREEN AT MOUNTAIN VIEW, L.L.C.

Doing business as

Mountain View Health and Rehabilitation Center

Practice address

201 Koontz LN
Carson City, NV 89701-5513

Phone

(775) 883-3622

Fax

(775) 883-3744

NPI assigned

May 5, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

EMPRES NEVADA HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Brent Weil

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mountain View Health and Rehabilitation Center Doing business as

Practitioners 3

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.

• Reka Danko, M.D.

  • Hospitalist Physician
  • Reno, NV
  • NPI 1093987281
  NPD (past)
• Jacqueline Kizer

  • Family Nurse Practitioner
  • Gardnerville, NV
  • NPI 1588856967
  NPD (past)
• Aleli Favila Rojas, M.D.

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1750576245
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1144279472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KOONTZ LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015513",
            "telephone_number": "775-883-3622",
            "fax_number": "775-883-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AT MOUNTAIN VIEW, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES NEVADA HEALTHCARE, LLC",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "3331SNF-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913700",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobbie Ettinger
• Clinton Leo Euse, D.D.S.
• Jennifer Evans, APRN
• Ebony Everett Taylor
• Evergreen at Carson City, L.L.C. (Ormsby Post Acute Rehab)
• Everlasting Senior Care
• Eye Surgery Center of Nevada
• Eyemart Express LLC
• Eyezone, Inc.
• Rachelle Faedi

• Skilled Nursing Facility in Carson City, NV
• Providers in Carson City, 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 Jan 30, 2017; 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.