Evergreen Estates Nursing & Rehabilitation Center LLC
NPI 1255049797 · Skilled Nursing Facility · Woodburn, OR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Estates Nursing & Rehabilitation Center LLC is a Skilled Nursing Facility organization in Woodburn, OR (NPI 1255049797).
Provider details
- NPI number
- 1255049797
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Knox, Ceo(740) 359-5401
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
3 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
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Frequently asked questions
- What is Evergreen Estates Nursing & Rehabilitation Center LLC's NPI number?
- Evergreen Estates Nursing & Rehabilitation Center LLC's National Provider Identifier (NPI) is 1255049797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Estates Nursing & Rehabilitation Center LLC?
- Evergreen Estates Nursing & Rehabilitation Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Estates Nursing & Rehabilitation Center LLC located?
- Evergreen Estates Nursing & Rehabilitation Center LLC's practice location on file with NPPES is 601 Evergreen Rd, Woodburn, OR 97071-2910.
- What is Evergreen Estates Nursing & Rehabilitation Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Estates Nursing & Rehabilitation Center LLC is (503) 982-0111.
- Does Evergreen Estates Nursing & Rehabilitation Center LLC accept Medicare?
- Evergreen Estates Nursing & Rehabilitation Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Estates Nursing & Rehabilitation Center LLC?
- The authorized official listed on Evergreen Estates Nursing & Rehabilitation Center LLC's NPPES record is Donald Knox, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Estates Nursing & Rehabilitation Center LLC's NPI active?
- Yes — Evergreen Estates Nursing & Rehabilitation Center LLC's NPI (1255049797) is active in the NPPES registry as of the last update on 2025-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.