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Evergreen Convalescent Hospital and Rehabilitation Center, Inc.

Skilled Nursing Facility in Modesto, CA · enumerated 2005 · authorized official Benedict Cipponeri, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245237965

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Convalescent Hospital and Rehabilitation Center, Inc.
Other name <Unavail>
Practice address 2030 Evergreen Ave, Modesto, CA, 95350
Phone (209) 577-1055
Fax (209) 550-3619
Enumeration date Jul 7, 2005
Last updated in NPPES May 21, 2013

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100000038 (CA) Primary

Authorized official

Name Benedict Cipponeri
Title Chief Executive Officer
Phone (209) 577-1055

Other identifiers

Identifier Type State Issuer
13676588 Other CA STATE-COMP
ZZR55118F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-21. Verify at npiregistry.cms.hhs.gov.
Where is Evergreen Convalescent Hospital and Rehabilitation Center, Inc. located?
The practice location on file with NPPES is in Modesto, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-21.