Evergreen at Petaluma, L.L.C.
NPI 1104874940ActiveOrganization· Skilled Nursing Facility· Petaluma, CA
Skilled Nursing Facility in Petaluma, California, registered in NPPES in May 2006, part of Empres California Healthcare, L.L.C. The authorized official on file is Brent Weil, Ceo And Manager.
Overview
| NPI | 1104874940 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Empres California Healthcare, L.L.C. |
| NPI issued | May 4, 2006 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 010000018 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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