Organization Active NPI

Evergreen Interactive Programming

  • Adult Day Care Clinic/Center
  • Stamford, CT
National Provider Identifier
1497665087
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EVERGREEN INTERACTIVE PROGRAMMING
Practice address
884 Newfield Ave
Stamford, CT 06905-2919
Phone
(203) 514-7450
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Mr. Gabriel Corredor
Title
Founder
Phone
(607) 351-9177

Specialties & licenses 1

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

Addresses

Primary practice location

884 Newfield Ave
Stamford, CT 06905-2919

Mailing address

700 Canal St
Stamford, CT 06902-5921
Phone (203) 514-7450

National Provider Directory

National Provider Directory

Locations

884 Newfield Ave
Stamford, CT 06905

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1497665087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CANAL ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025921",
            "telephone_number": "203-514-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052919",
            "telephone_number": "203-514-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN INTERACTIVE PROGRAMMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "CORREDOR",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "607-351-9177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.