# EVERGREEN HEALTH AND REHABILITATION CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Health and Rehabilitation Center, Evergreen Health and Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003812181
- **Authorized official:** ANDREW SOWLES (ADMINISTRATOR)
- **Authorized official phone:** (248) 203-9000

## Contact information

- **Practice address:** 19933 W 13 MILE RD, SOUTHFIELD, MI 48076-1024
- **Practice address phone:** (248) 203-9000
- **Practice address fax:** (248) 203-9001
- **Mailing address:** 19933 W 13 MILE RD, SOUTHFIELD, MI 48076-1024
- **Mailing address phone:** (248) 203-9000
- **Mailing address fax:** (248) 203-0685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 63-4021 | MI | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 06/16/2026