SL Evergreen, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

OHL01635 Issued in OH

Legal business name

SL EVERGREEN, LLC

Doing business as

Evergreen Retirement Community

Practice address

230 W Galbraith Rd
Cincinnati, OH 45215-5223

Phone

(513) 948-2308

Fax

(513) 948-0063

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

David Lee Richey, LNHA

Title

Executive Director

Phone

(513) 948-2308

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Retirement Community Doing business as

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1609191568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155223",
            "telephone_number": "513-948-2308",
            "fax_number": "513-948-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155223",
            "telephone_number": "513-948-2308",
            "fax_number": "513-948-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL EVERGREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-948-2308",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "OHL01635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Slabaugh, PA-C
• Melissa M Slabaugh, APRN-CNP
• Darla F Slagh, LPCC-S, PHD

• Assisted Living Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.