Evergreen Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1-0816 Issued in HI

Legal business name

EVERGREEN ADULT DAY CARE

Practice address

1124 Fort Street Mall FL 2
Honolulu, HI 96813-2715

Phone

(808) 372-8257

NPI assigned

Aug 14, 2016

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel J Park

Title

Owner

Phone

(808) 946-7505

Specialties & licenses 1

Addresses

Tax ID family

Evergreen Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Evergreen Adult Day Care

  • In Home Supportive Care Agency
  • Honolulu, HI
  • NPI 1598367849
  NPD tax ID

Locations

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1649724089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 FORT STREET MALL FL 2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132715",
            "telephone_number": "808-372-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 FORT STREET MALL FL 2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132715",
            "telephone_number": "808-372-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-946-7505"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "HI",
            "license": "1-0816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Everett, CSAC
• Kaeo Everett, DMD
• Evergreen Adc Hawaii
• Evergreen Adc Hawaii
• Evergreen Adult Day Care
• Evermore Mobile, LLC
• Evolve Health LLC
• Blaise Kainalu Evora
• Xenia Ewing, PSYD, MA
• Excel Dermatology of Hawaii LLC

• Adult Day Care Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Day Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.