Ev Bloomington Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EV BLOOMINGTON LIMITED PARTNERSHIP

Doing business as

Evergreen Village at Bloomington

Practice address

3607 South Heirloom Drive
Bloomington, IN 47401

Phone

(812) 336-2719

Fax

(812) 336-2723

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Greg Echols

Title

Co-President of Management Agent

Phone

(815) 935-1992

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Village at Bloomington Doing business as

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1881104289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 SOUTH HEIRLOOM DRIVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-336-2719",
            "fax_number": "812-336-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EV BLOOMINGTON LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-PRESIDENT OF MANAGEMENT AGENT",
        "authorized_official_telephone_number": "815-935-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Village at Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Essink, OT
• Graydon E. Estabrook, PH.D. SCHOOL PSYCH
• Stephanie Lo Estell, LCSW
• Drew Etchison, RBT
• Jean-Paul Etienne, O.D.
• Lenora M Evans, DO
• Elizabeth Faye Evens, R.N.
• Josephine Everett
• Ashlyn Everley, RBT
• Everside Health Bloomington in

• Assisted Living Facility in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.