Evergreen Adult Day Care Center, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EVERGREEN ADULT DAY CARE CENTER, INC.

Practice address

131 Lawrence St
Attn: Business Office
Saratoga Springs, NY 12866-1346

Phone

(518) 587-3600

Fax

(518) 587-2930

NPI assigned

Mar 2, 2011

Organization subpart

Yes

Parent organization

UNITED METHODIST HEALTH AND HOUSING, INC.As reported in NPPES

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

Authorized official

Name

Shelly Amato, CPA, MBA, LNHA

Title

Chief Financial Officer

Phone

(518) 691-1416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1154629012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE STREET",
            "address_2": "ATTENTION: BUSINESS OFFICE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-587-3600",
            "fax_number": "518-587-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE ST",
            "address_2": "ATTN: BUSINESS OFFICE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-587-3600",
            "fax_number": "518-587-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED METHODIST HEALTH AND HOUSING, INC.",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-691-1416",
        "authorized_official_credential": "CPA, MBA, LNHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Etkin-Sefcik, LCSW
• Katherine Mary Evanico, LCSW
• Christopher J Evans, RPA
• Katherine Evans, DPT
• Shaun P Evans, MPT
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• Eye Care Specialists LLP
• Joseph Kenneth Fairley III, CP
• Oluwatoyin Damilola Fajobi, MD
• Fallonwellness Pharmacy of Saratoga

• Adult Day Care Clinic/Center in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 Mar 2, 2011; 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.