Organization Active NPI

Careconnection. Inc

Doing business as Evergreen Court Adult Day Services

  • Adult Day Care Clinic/Center
  • Woodbury, NJ
National Provider Identifier
1144356346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
NJQX8PCO Issued in NJ
Legal business name
CARECONNECTION. INC
Doing business as
Evergreen Court Adult Day Services
Practice address
551 N Evergreen Ave
Woodbury, NJ 08096-1855
Phone
(856) 845-1976
Fax
(856) 845-3743
NPI assigned
Feb 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Nadine Sibila, MS, LNHA, CSW
Title
President
Phone
(856) 845-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NJQX8PCO NJ Primary

Addresses

Primary practice location

551 N Evergreen Ave
Woodbury, NJ 08096-1855

Mailing address

227 Alvine Rd
Pittsgrove, NJ 08318-4625
Phone (856) 845-1976

Other identifiers 1

IdentifierTypeStateIssuer
8647003MedicaidNJ

Other names 1

  • Evergreen Court Adult Day Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144356346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ALVINE RD",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184625",
            "telephone_number": "856-845-1976",
            "fax_number": "856-845-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961855",
            "telephone_number": "856-845-1976",
            "fax_number": "856-845-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECTION. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIBILA",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-845-1976",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, LNHA, CSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "NJQX8PCO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8647003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Court Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • 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.