Evergreen Center, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EVERGREEN CENTER, INC.

Practice address

345 Fortune Blvd
Milford, MA 01757-1723

Phone

(508) 478-2631

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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

Dr. Robert F Littleton Jr., ED.D.

Title

Executive Director

Phone

(508) 473-3422

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Lynn Cornell

  • Specialist
  • Milford, MA
  • NPI 1730369919
  NPD (past)
• Imani Parks

  • Occupational Therapist
  • Milford, MA
  • NPI 1093271488
  NPD (past)
• Kirstin White, MS CCC-SLP

  • Speech-Language Pathologist
  • Milford, MA
  • NPI 1689348765
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093922924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571723",
            "telephone_number": "508-478-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571723",
            "telephone_number": "508-478-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-473-3422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Fleury Etienne
• Eugene C. Jagella, M.D. PC
• Quirico Evangelista, M.D.
• Teresa Evans
• Sydney Eve
• Evergreen Home Care Services, Inc. (BrightStar Care of Framingham/Milford/Worcester/Southbridge)
• Deniel Eva Ewing
• Beatrice Exantus
• Lorrie Eyberg, LMT
• Amanda Mae Ezold

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Milford, MA
• Providers in Milford, MA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.