Evergreen Place Beardstown LLC
NPI 1063974418ActiveOrganization· Assisted Living Facility· Beardstown, IL
Assisted Living Facility in Beardstown, Illinois, registered in NPPES in April 2019, part of Heritage Enterprises, Inc. The authorized official on file is David M. Underwood, Exec Vp Finance & Cfo.
Overview
| NPI | 1063974418 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heritage Enterprises, Inc. |
| NPI issued | Apr 4, 2019 |
| Last updated in NPPES | Apr 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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