Evergreen at Ely, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1218SNF-20 Issued in NV

Legal business name

EVERGREEN AT ELY, L.L.C.

Doing business as

White Pine Care Center

Practice address

1500 Avenue G
Ely, NV 89301-2539

Phone

(775) 289-8801

Fax

(775) 289-3208

NPI assigned

May 5, 2006

Last updated

Jun 3, 2020By 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

James Robert Preimesberger

Title

Manager

Phone

(213) 220-4808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Pine Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750339131. Details of each certification follow.

• CCN 295029 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 295029

Legal name

EVERGREEN AT ELY LLC

Doing business as

WHITE PINE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 14, 1976

Last certification

May 7, 2025

Beds

97

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 24, 2000 in WA

Enrollment address

1500 Avenue G
Ely, NV 89301-2539

Nursing home name

WHITE PINE CARE CENTER

Listed as

White Pine Care CenterCCN 295029 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 14, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9733.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

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.

• Craig M Jorgenson, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588646830
  NPD (past)
• Ha Viet Vu, MD

  • Family Medicine Physician
  • Ely, NV
  • NPI 1801391107
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ha Viet Vu, MD

  • Family Medicine Physician
  • Ely, NV
  • NPI 1801391107

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1750339131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVENUE G",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012539",
            "telephone_number": "775-289-8801",
            "fax_number": "775-289-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVENUE G",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012539",
            "telephone_number": "775-289-8801",
            "fax_number": "775-289-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AT ELY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-220-4808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "1218SNF-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1917920",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Pine Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Pine Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ely Shoshone Tribe (Newe Medical Clinic)
• Evergreen at Ely, L.L.C. (White Pine Care Center)
• Connor James Finklea, PA-C
• Curtis Ray Forbush, CRNA
• Rodney L Gamble, AEMT
• Garret Eugene Garber, PHARM D
• Genesis Home Health Services, Inc.

• Skilled Nursing Facility in Ely, NV
• Providers in Ely, 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 Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.