Evergreen Place Decatur, Llc

ActiveOrganizationSpecialty not listed
NPI issued: February 8, 2012

Quick Facts

NPI Number
1003188913
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy310400000X — Specialty not listed
Phone
(217) 864-4300
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1003188913)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 8, 2012)
Data source: CMS NPPES

Provider Overview

EVERGREEN PLACE DECATUR, LLC is a Healthcare provider based in Decatur, IL who has been registered with CMS since 2012. They are affiliated with Evergreen Place Decatur Supportive Living. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003188913
Provider TypeOrganization
StatusActive
Enumeration DateFebruary 8, 2012

Practice Location

CityDecatur
StateIL
ZIP Code62521
Phone(217) 864-4300

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code310400000X
License StateIL

Mailing Address

CityDecatur
StateIL
ZIP Code62521
Phone(217) 864-4300
Same as practice location

Hospital & Organization Affiliations

🏢

Evergreen Place Decatur Supportive Living

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How to Use This NPI

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For Insurance Billing

Use NPI 1003188913 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003188913for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003188913 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
27,142
Specialty not listed Providers in the US

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People Also Ask

What is Evergreen Place Decatur, Llc's NPI number?
Evergreen Place Decatur, Llc's NPI number is 1003188913, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Evergreen Place Decatur, Llc's NPI currently active?
Yes, Evergreen Place Decatur, Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Evergreen Place Decatur, Llc specialize in?
Evergreen Place Decatur, Llc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 310400000X.
Where does Evergreen Place Decatur, Llc practice?
Evergreen Place Decatur, Llc practices in Decatur, IL 62521.
When was Evergreen Place Decatur, Llc's NPI issued?
Evergreen Place Decatur, Llc's NPI was issued on February 8, 2012.
What is Evergreen Place Decatur, Llc's provider type?
Evergreen Place Decatur, Llc is registered as an Organization under CMS NPI Type 2.