NPIMap

Organization Active NPI

Evergreen Adult Day Care in New York CN

  • Adult Day Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1649682444
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EVERGREEN ADULT DAY CARE IN NEW YORK CN
Practice address
13235 41St Rd Ste 1E
Flushing, NY 11355-4354
Phone
(917) 621-8715
Fax
(917) 591-8068
NPI assigned
May 28, 2014
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
EVERGREEN ADULT DAY CARE IN NEW YORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Jing Wang
Title
General Manager
Phone
(917) 621-8715

Specialties & licenses 1

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

Addresses

Primary practice location

13235 41St Rd Ste 1E
Flushing, NY 11355-4354

Mailing address

13235 41St Rd Ste 1E
Flushing, NY 11355-4354

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Adult Day Care in New York CN3 organizations share this tax ID, including this one
Part of
Evergreen Adult Day Care in New York CN

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1649682444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 41ST RD STE 1E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 41ST RD STE 1E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554354",
            "telephone_number": "917-621-8715",
            "fax_number": "917-591-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ADULT DAY CARE IN NEW YORK CN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN ADULT DAY CARE IN NEW YORK",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "917-621-8715"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.