Evergreen Social Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EVERGREEN SOCIAL CARE LLC

Practice address

941 White Horse Ave
Suite 9
Hamilton, NJ 08610-1407

Phone

(609) 577-0588

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Shahrukh Jovindah

Title

Managing Member

Phone

(609) 577-0588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1669894846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE AVE",
            "address_2": "SUITE 9",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE AVE",
            "address_2": "SUITE 9",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-577-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SOCIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "JOVINDAH",
        "authorized_official_first_name": "SHAHRUKH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-577-0588",
        "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": []
}

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• Providers in Hamilton, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.