Evergreenhealth and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OC00001206 Issued in WA

Legal business name

EVERGREENHEALTH AND REHAB

Practice address

3517 11TH St
Bremerton, WA 98312-2633

Phone

(360) 475-0745

NPI assigned

May 5, 2008

Last updated

May 5, 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

Mr. Thomas Gerard Kulfan, COTA

Title

Certified Occupational Therapy Assi

Phone

(360) 689-5673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1689840050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 VINEYARDS LN NE APT K302",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119255",
            "telephone_number": "360-689-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 11TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122633",
            "telephone_number": "360-475-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREENHEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KULFAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASSI",
        "authorized_official_telephone_number": "360-689-5673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "OC00001206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Evans
• Christopher Franklin Evatt, BA
• Quartz Eve
• Kalina A Eveland, RDH
• Evergreen Kitsap, L.L.C. (Kitsap Health and Rehabilitation Center)
• Diana Everist Cox
• Rachelle Evinsky
• Jeremy R Ewing, RN
• John Eyler
• Blake Eynon

• Skilled Nursing Facility in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Skilled Nursing Facility in Washington

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