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Evergreen Glenhaven Operations, Llc

Assisted Living Facility

DAVID UNDERWOOD
NPI: 1013168202Alton, Illinois, 62002(618) 462-1500

About Evergreen Glenhaven Operations, Llc

Evergreen Glenhaven Operations, Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1013168202. The authorized official for Evergreen Glenhaven Operations, Llc is DAVID UNDERWOOD.

The organization is headquartered at 100 GLENHAVEN DR, Alton, Illinois 62002. The main office can be reached at (618) 462-1500. Evergreen Glenhaven Operations, Llc has been NPI-registered since 2008.

Locations & Contact

Primary Location

Address
100 GLENHAVEN DR
City
Alton
State
Illinois
ZIP
62002-6700
Phone
(618) 462-1500
View on Google Maps

Authorized Official

Name
DAVID UNDERWOOD

Mailing Address

Address
115 W JEFFERSON ST.
City
BLOOMINGTON
State
IL
ZIP
61701

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Assisted Living Facility
Classification
Assisted Living Facility
Taxonomy Code
310400000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Evergreen Glenhaven Operations, Llc's NPI number?
Evergreen Glenhaven Operations, Llc's National Provider Identifier (NPI) is 1013168202. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Evergreen Glenhaven Operations, Llc specialize in?
Evergreen Glenhaven Operations, Llc specializes in Assisted Living Facility.
Where is Evergreen Glenhaven Operations, Llc located?
Evergreen Glenhaven Operations, Llc practices at 100 GLENHAVEN DR, Alton, Illinois 62002. You can reach them by phone at (618) 462-1500.
Does Evergreen Glenhaven Operations, Llc accept Medicare?
Based on available data, Evergreen Glenhaven Operations, Llc is not currently enrolled in the Medicare program.
Does Evergreen Glenhaven Operations, Llc offer telehealth or virtual visits?
Evergreen Glenhaven Operations, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Evergreen Glenhaven Operations, Llc holds NPI 1013168202, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.