EVERGREEN AT GARDNERVILLE, L.L.C. SOS Verified
1573 MULLER PKWY, GARDNERVILLE, NV 89410
NPI Number
1083662514
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: GARDNERVILLE LLC
Entity Number: LLC15730-2002
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2002-12-18
Status Changed: 2023-01-01
Name Match: 85%
Registered Agent
Name: RICHARD J. DRAGON
Type: Non-Commercial Registered Agent
Address: 1805 CAMAS COURT, GARDNERVILLE, NV, 89410
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | RICHARD DRAGON | 1805 CAMAS CT, GARDNERVILLE, NV, 89410 | Active |
Campaign Contributions
$18,257Total Contributed
6Candidates Supported
Officer / Individual Matches
Richard DragonConfirmed Match
Matched via officer: RICHARD DRAGON (Mmember)
$1,625 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Nevada Dental Association PAC | PAC | $1,625 | 1 |
Richard DragonConfirmed Match
Matched via officer: RICHARD DRAGON (Mmember)
$6,150 across 6 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Becky Harris | Office Not Specified | Nonpartisan | $200 | 1 |
| Ben Kieckhefer | Nevada Gaming Commission | Republican Party | $200 | 1 |
| Nevada Dental Association PAC | PAC | $5,750 | 4 |
DRAGON, RICHARD J DR.Confirmed Match
Matched via officer: RICHARD DRAGON (Mmember)
$8,482 across 58 contributions
DRAGON, RICHARD J DRProbable Match
Matched via officer: RICHARD DRAGON (Mmember)
$250 across 1 contribution
DRAGON, RICHARDProbable Match
Matched via officer: RICHARD DRAGON (Mmember)
$1,000 across 1 contribution
Richard DragonProbable Match
Matched via officer: RICHARD DRAGON (Mmember)
$250 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Heidi Gansert | Office Not Specified | Republican Party | $250 | 1 |
DRAGON, RICHARD JProbable Match
Matched via officer: RICHARD DRAGON (Mmember)
$500 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| AMODEI, MARK EUGENE | U.S. House | REP | $17,500 | 35 |
| AMODEI, MARK EUGENE EUGENE | U.S. House | REP | $2,500 | 5 |
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2020 | $0 | |
| 2021 | $0 | |
| 2022 | $0 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 59 | $0 | 0.0% | $0 |
| 0001A | Medical service or procedure | 16 | $0 | 0.0% | $0 |
| 0002A | Medical service or procedure | 15 | $0 | 0.0% | $0 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 320 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | $0 | 0.0% | $0 |
| 90662 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90694 | Vaccine or immunization | 16 | $0 | 0.0% | $0 |