EVERGREEN NURSING HOME, LLC
EVERGREEN NURSING HOME, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285693762, based in Evergreen, AL. It is classified under Nursing Facility/Intermediate Care Facility.
Getting there
The practice address on file is 100 SANDERS DR, Evergreen, AL 36401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 12509 | AL | Nursing Facility/Intermediate Care… primary |
This provider holds licence 12509 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Skilled Nursing Facility
- PAC ID
- 6406751700
- Enrollment ID
- O20031201000270
Medicare enrolment is recorded as approved under the provider type Part A Provider - Skilled Nursing Facility. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nursing Facility/Intermediate Care Facility covers
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. NUCC Health Care Provider Taxonomy, code 313M00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285693762 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 22, 2006 |
| Last updated | Mar 6, 2024 |
| Status | Active |
| Practice address |
100 SANDERS DR Evergreen, AL 36401 (251) 578-3783 Fax (251) 578-3786 |
| Mailing address |
501 WHETSTONE ST Monroeville, AL 36460 |
| Other identifiers |
4750890S
· Medicaid (AL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 6 | 9 | 3 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 3 | 9 | 6 | 7 | 3 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.