Active NPI
Evergreens, Inc.
- Skilled Nursing Facility
- High Point, NC
National Provider Identifier
1912966698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0236
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405178 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.