Organization Active NPI

Evergreens, Inc.

  • Skilled Nursing Facility
  • High Point, NC
National Provider Identifier
1912966698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0236 Issued in NC
Legal business name
EVERGREENS, INC.
Practice address
206 Greensboro Rd
High Point, NC 27260-3456
Phone
(336) 886-4121
Fax
(336) 886-6285
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Arnold Newman Jr.
Title
Administrator
Phone
(336) 886-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0236 NC Primary

Addresses

Primary practice location

206 Greensboro Rd
High Point, NC 27260-3456

Mailing address

206 Greensboro Rd
High Point, NC 27260-3456
Phone (336) 886-4121

Other identifiers 1

IdentifierTypeStateIssuer
3405178MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912966698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GREENSBORO RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272603456",
            "telephone_number": "336-886-4121",
            "fax_number": "336-886-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GREENSBORO RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272603456",
            "telephone_number": "336-886-4121",
            "fax_number": "336-886-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-886-4121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405178",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • 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.