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Evergreen Valley Nursing Home

Skilled Nursing Facility in Plattsburgh, NY · enumerated 2005 · authorized official Ephraim Zagelbaum, Ceo.

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

National Provider Identifier

1477540193

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Valley Nursing Home
Practice address 8 Bushey Blvd., Plattsburgh, NY, 12901
Phone (518) 563-3261
Fax (518) 562-1367
Enumeration date Sep 29, 2005
Last updated in NPPES Sep 21, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0901301N (NY) Primary

Authorized official

Name Ephraim Zagelbaum
Title Ceo
Phone (914) 597-7600

Other identifiers

Identifier Type State Issuer
00308801 Medicaid NY -
02329757 Medicaid NY -

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

What type of organization is Evergreen Valley Nursing Home?
Evergreen Valley Nursing Home is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-21.