Active NPI
Evergreen Adult Day Care, LLC
- Adult Day Care Clinic/Center
- East Orange, NJ
National Provider Identifier
1629317367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.