NPI
Evergreen Convalescent Hospital and Rehabilitation Center, Inc.
Doing business as Evergreen Nursing & Rehabilitation Care Center. NPI 1245237965
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-07-07
- Last updated
- 2013-05-21
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Specialties
Licenses
- License CA
- 100000038
Location
- Practice location
- 2030 Evergreen Ave
- City
- Modesto CA
- Postal code
- 95350-3785
- Phone
- (209) 577-1055
Organization contact
- Name
- Benedict Cipponeri
- Title
- Chief Executive Officer
- Phone
- (209) 577-1055
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Modesto, CA. 10,730 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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