# THE EVERGREENS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487668216
- **Authorized official:** MR. JAMES A NEWMAN JR. LNHA (ADMINISTRATOR)
- **Authorized official phone:** (336) 886-4121

## Contact information

- **Practice address:** 206 GREENSBORO RD, HIGH POINT, NC 27260-3456
- **Practice address phone:** (336) 886-4121
- **Practice address fax:** (336) 886-6285
- **Mailing address:** 206 GREENSBORO RD, HIGH POINT, NC 27260-3456
- **Mailing address phone:** (336) 886-4121
- **Mailing address fax:** (336) 886-6285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | NH0236 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0236 | NC | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00830 | BCBS PROVIDER NUMBER | NC |
| 01 | — | 23497 | PARTNERS PROVIDER NUMBER | NC |
| 05 | — | 3405178 | — | NC |
| 05 | — | 3406161 | — | NC |
| 01 | — | 7801625 | MCAID PCS PROVIDER NO | NC |