Evergreen Convalescent Hospital and Rehabilitation Center, Inc.
NPI 1245237965 · Skilled Nursing Facility · Modesto, CA
Evergreen Convalescent Hospital and Rehabilitation Center, Inc. is a Skilled Nursing Facility organization in Modesto, CA (NPI 1245237965).
Provider details
- NPI number
- 1245237965
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benedict Cipponeri, Chief Executive Officer(209) 577-1055
- License
- 100000038 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Nursing & Rehabilitation Care Center
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2013-05-21
Frequently asked questions
- What is Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s NPI number?
- Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s National Provider Identifier (NPI) is 1245237965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Convalescent Hospital and Rehabilitation Center, Inc.?
- Evergreen Convalescent Hospital and Rehabilitation Center, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Convalescent Hospital and Rehabilitation Center, Inc. located?
- Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s practice location on file with NPPES is 2030 Evergreen Ave, Modesto, CA 95350-3785.
- What is Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Convalescent Hospital and Rehabilitation Center, Inc. is (209) 577-1055.
- Who is the authorized official for Evergreen Convalescent Hospital and Rehabilitation Center, Inc.?
- The authorized official listed on Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s NPPES record is Benedict Cipponeri, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s NPI active?
- Yes — Evergreen Convalescent Hospital and Rehabilitation Center, Inc.'s NPI (1245237965) is active in the NPPES registry as of the last update on 2013-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.