# THE EVERGREENS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreens Senior Healthcare System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366465403
- **Authorized official:** MS. MARILYN GARDNER LNHA (ADMINISTRATOR)
- **Authorized official phone:** (336) 292-8620

## Contact information

- **Practice address:** 4007 W WENDOVER AVE, GREENSBORO, NC 27407-1904
- **Practice address phone:** (336) 292-8620
- **Practice address fax:** (336) 854-7122
- **Mailing address:** 4007 W WENDOVER AVE, GREENSBORO, NC 27407-1904
- **Mailing address phone:** (336) 292-8620
- **Mailing address fax:** (336) 854-7122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | NH0073 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0073 | NC | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00829 | BCBS OF NC PROVIDER NO | NC |
| 05 | — | 3405016 | — | NC |
| 05 | — | 3406162 | — | NC |
| 01 | — | 40251 | PARTNERS INS PROVIDER NO | NC |