Assisted Living at Evergreen, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

405780 Issued in PA

Legal business name

ASSISTED LIVING AT EVERGREEN, INC.

Practice address

336 N Main St
Washington, PA 15301-4326

Phone

(724) 222-4227

Fax

(724) 222-7946

NPI assigned

Jul 15, 2008

Last updated

Jul 15, 2008By 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

Cheryl Spiker, LPN

Title

Administrator

Phone

(724) 222-4227

Specialties & licenses 1

Addresses

Locations

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.

• Nicholas E Fuerst, M.D.

  • Family Medicine Physician
  • Washington, PA
  • NPI 1548239429
  NPD (past)
• Sean R Kelly, DO

  • Internal Medicine Physician
  • Washington, PA
  • NPI 1174592760
  NPD (past)
• Mark Allen Mamros, M.D.

  • Family Medicine Physician
  • Claysville, PA
  • NPI 1245221829
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1285898627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014326",
            "telephone_number": "724-222-4227",
            "fax_number": "724-222-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014326",
            "telephone_number": "724-222-4227",
            "fax_number": "724-222-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT EVERGREEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SPIKER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-222-4227",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "405780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Antonucci, CRNP
• Richard Anthony Aprea, MD
• Giovanna Aracri, DO
• Arc Human Services, Inc.
• Shweta Arora, MD
• Associated Dental Billing Services (All About Smiles)
• Associates in Dentistry
• Associates in Oral and Maxillofacial Surgery
• Associates in Physical Medicine and Rehabilitation of SW PA PC
• Jennifer Anne Asti, RPH

• Assisted Living Facility in Washington, PA
• Providers in Washington, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.