Verify a License or Registration

Name and Address
Name: EVERGREEN HEALTH AND REHABILITATION CENTER
Address: 19933 WEST THIRTEEN MILE ROAD, SOUTHFIELD, MI 48076
Profession and License/Registration Information
Profession: Health Systems Facilities
Type: Nursing Home
Permanent ID #
1070000400
Status
Active
Issue Date
06/25/2008
Expiration Date
07/31/2025
Facility Bed Data
Bed Description
NH MEDICARE ONLY
NH DUALLY CERTIFIED
Effective Date
01/01/2025
01/01/2025
Bed Total
84
88
Summable Bed Total: 172

NOTE: Summable Bed Total does not include subtype beds, such as rehab, ICU, NICU, as these beds are already counted in the major bed categories. Subtype bed categories are indicated by an (S) at the end of the bed description.
Documents
FileName
Document Type
634021-N41S11-04.08.2025
CMS Health Complaint
634021-D9LX12-03.26.2025
CMS Health Complaint Revisit
634021-D9LX11-02.20.2025
CMS Health Complaint
634021-CEKF11-12.10.2024
CMS Health Complaint
634021-1OJ712-10.02.2024
CMS Health Cert Revisit
634021-1OJ722-09.17.2024
CMS LSC Cert Revisit
634021-1OJ711-08.07.2024
CMS Health Cert Complaint
634021-1OJ721-08.06.2024
CMS LSC Certification
634021-PMR912-06.24.2024
CMS Health Complaint Revisit
634021-PMR911-05.28.2024
CMS Health Complaint
634021-2NQ511-03.14.2024
CMS Health Complaint
634021-GIL912-02.28.2024
CMS Health Complaint Revisit
634021-GIL911-01.30.2024
CMS Health Complaint
634021-GYCK12-12.21.2023
CMS Health Complaint Revisit
634021-GYCK11-11.15.2023
CMS Health Complaint
634021-S7ZO11-08.17.2023
CMS Health Complaint - Infection Control
634021-RGL412-08.22.2023
CMS Health Cert Complaint Revisit
634021-RGL411-06.29.2023
CMS Health Cert Complaint
634021_LS_05312023.pdf
Licensure Survey
634021-6UN712-03.07.2023
CMS Health Complaint Revisit
634021-DQ6G11-03.13.2023
CMS Infection Control
634021-6UN711-02.02.2023
CMS Health Complaint
634021-3UJ011-12.12.2022
CMS Infection Control
634021-XPIF12-07.25.2022
CMS Health Cert Complaint Revisit
634021-XPIF22-07.07.2022
CMS LSC Cert Revisit
634021-XPIF21-05.25.2022
CMS LSC Certification
634021-XPIF11-05.26.2022
CMS Health Cert Complaint
634021 Evergreen Health and Rehab Waiver 2020.pdf
Licensure Survey
634021 Evergreen H&L-Stand 1.30.18.pdf
Licensure Survey

Disclaimer: Licensing and registration records are made available on this website by LARA to provide immediate access to information for the convenience of interested persons. This information is updated once a day. All users have the responsibility to determine whether information obtained from this site is still accurate, current, and complete. LARA assumes no responsibility for any errors or omissions, or for the use of information obtained from this site.

The Disciplinary Action section shows if a licensee/registrant currently has an open formal complaint and a listing of any final disciplinary action after January 1, 2005. The date of compliance may not be listed for disciplinary actions occurring prior to January 1, 2005.

Disciplinary documents are posted to the Documents section as required by Section 333.16216(6) of the Public Health Code. Final administrative disciplinary action is subject to judicial review.

NOTE: EMS PERSONNEL ARE NOT LICENSED BY LARA BUREAU OF PROFESSIONAL LICENSING. PLEASE VISIT THE DHHS PERSONNEL LICENSURE AND EDUCATION REQUIREMENTS PAGE TO VERIFY A LICENSE FOR EMS PERSONNEL.