NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Health Care Center, LLC

Skilled Nursing Facility in Scranton, PA · enumerated 2010 · authorized official Michael Kelly, President.

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

National Provider Identifier

1811208077

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Health Care Center, LLC
Practice address 701 Clay Ave, Scranton, PA, 18510
Fax (570) 344-1977
Enumeration date Jun 23, 2010
Last updated in NPPES Sep 7, 2010

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 133802 (PA) Primary

Authorized official

Name Michael Kelly
Title President

Other identifiers

Identifier Type State Issuer
1024773960001 Medicaid PA -

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.

Read the full guide → Validate an NPI →

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 2010-09-07. Verify at npiregistry.cms.hhs.gov.
Where is Evergreen Health Care Center, LLC located?
The practice location on file with NPPES is in Scranton, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-07.