Evergreen North Cascades Health & Rehab Ctr.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH 1348 Issued in WA

Legal business name

EVERGREEN NORTH CASCADES HEALTH & REHAB CTR.

Practice address

4680 Cordata Pkwy
Bellingham, WA 98226-8038

Phone

(360) 398-1966

Fax

(360) 398-9346

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Kathleen Abundis

Title

Health Information Director

Phone

(360) 398-1966

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841284494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268038",
            "telephone_number": "360-398-1966",
            "fax_number": "360-398-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268038",
            "telephone_number": "360-398-1966",
            "fax_number": "360-398-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NORTH CASCADES HEALTH & REHAB CTR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABUNDIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "HEALTH INFORMATION DIRECTOR",
        "authorized_official_telephone_number": "360-398-1966"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH 1348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Evans, M.D.
• Richard J Evans V, MA
• Evergreen AIDS Foundation
• Evergreen at Bellingham, L.L.C.
• Evergreen Community & Support Services LLC
• Evergreen Psychiatry, LLC
• Evergreen Supported Living
• Matthew H Evoy Jr., CDP, CCC
• Jeannette Marie Evraets, RN LAC
• Lucinda Ewing, RN

• Skilled Nursing Facility in Bellingham, WA
• Providers in Bellingham, 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 Aug 22, 2020; 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.