Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Convalescent Hospital and Rehabilitation Center, Inc

Organization Skilled Nursing Facility · NPI 1245237965

Evergreen Convalescent Hospital and Rehabilitation Center, Inc is a Skilled Nursing Facility in Modesto, California. Medicare rates this nursing home 1 out of 5. Licensed in California.

CMS rating
1 of 5
Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 555118)
Health inspection1.0 / 5
Staffing3.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

2030 Evergreen Ave
Modesto, CA 95350-3785
Phone: (209) 577-1055
Fax: (209) 550-3619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100000038 (CA)

Record details

NPI number1245237965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benedict Cipponeri — Chief Executive Officer · (209) 577-1055
Other names Evergreen Nursing & Rehabilitation Care Center
NPI enumeratedJuly 7, 2005
Last updated in NPPESMay 21, 2013
Mailing address2030 Evergreen Ave, Modesto, CA 95350-3785

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