Active NPI
Evergreen Adult Foster Care LLC
- Foster Care Agency
- Worcester, MA
National Provider Identifier
1306750542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Legal business name
- EVERGREEN ADULT FOSTER CARE LLC
- Practice address
- 12 Jonathan Cir
Worcester, MA 01604-2242 - Phone
- (931) 378-1371
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Opondo, RN
- Title
- RN - Manager
- Phone
- (931) 378-1371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | NU | Primary |
Addresses
Primary practice location
12 Jonathan Cir
Worcester, MA 01604-2242
Mailing address
12 Jonathan Cir
Worcester, MA 01604-2242
Phone (931) 378-1371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1306750542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 JONATHAN CIR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016042242",
"telephone_number": "931-378-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 JONATHAN CIR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016042242",
"telephone_number": "931-378-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN ADULT FOSTER CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "OPONDO",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "RN - MANAGER",
"authorized_official_telephone_number": "931-378-1371",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.