Evergreen Nursing and Rehab Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

EVERGREEN NURSING AND REHAB CENTER

Practice address

1115 N Wenthe Dr
Effingham, IL 62401-1612

Phone

(217) 347-7121

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mary E Stroisch

Title

Dir of Fin Serv

Phone

(217) 528-2244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1154573897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032828",
            "telephone_number": "217-528-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N WENTHE DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011612",
            "telephone_number": "217-347-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NURSING AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "STROISCH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIR OF FIN SERV",
        "authorized_official_telephone_number": "217-528-2244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esa SC
• Bridget Katherine Estes, CRNA
• Candi Jo Estes, FNP-BC
• Erin Evans, PHARMD
• Evergreen Aesthetic Institute LLC
• Jeemin Eversole, NP
• Faith Griffin Grifin Therapeutic Solutions
• Family Care Associates of Effingham, S.C.
• Cari A. Fearday, PA-C
• Alex Feldkamp, MHP

• Oxygen Equipment & Supplies (DME) in Effingham, IL
• Providers in Effingham, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.