Organization Active NPI

Evergreen Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • East Orange, NJ
National Provider Identifier
1629317367
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EVERGREEN ADULT DAY CARE, LLC
Practice address
33 Evergreen PL
East Orange, NJ 07018-2166
Phone
(732) 991-8527
Fax
(732) 947-3001
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mr. Vishal Patel
Title
Owner
Phone
(732) 991-8527

Specialties & licenses 1

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

Addresses

Primary practice location

33 Evergreen PL
East Orange, NJ 07018-2166

Mailing address

335 Lancaster CT
Piscataway, NJ 08854-6222
Phone (732) 991-8527

Other names 1

  • Evergreen Adult Day Care Doing business as

National Provider Directory

National Provider Directory

Locations

33 Evergreen Pl
East Orange, NJ 07018
Phone (732) 991-8527

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1629317367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 LANCASTER CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546222",
            "telephone_number": "732-991-8527",
            "fax_number": "732-947-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182166",
            "telephone_number": "732-991-8527",
            "fax_number": "732-947-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-991-8527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.