Evergreen Adult Daycare Center, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EVERGREEN ADULT DAYCARE CENTER, INC.

Practice address

3530 Junction Blvd
Corona, NY 11368-1743

Phone

(646) 409-5464

NPI assigned

May 11, 2017

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lei Liu

Title

Director

Phone

(646) 409-5464

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1073049045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681743",
            "telephone_number": "646-409-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ADULT DAYCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LEI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-409-5464"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Andrea Escobar
• Feliciano A Espaillat, DDS
• Elizabeth Espinosa, RN
• Andres Adonis Estevez, OTR/L
• Noreen C Etienne
• Eye Specialists of New York, PC
• Eyecare Advantage, Inc.
• Polycarp I Ezeolu, PTA
• Danielle Faxon
• Maria E Fee, CCC-SLP

• Adult Day Care Clinic/Center in Corona, NY
• Providers in Corona, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.