NPIMap

Organization Active NPI

Evergreen Home Health Care Agency Inc.

  • Home Health Agency
  • Edison, NJ
National Provider Identifier
1710391990
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0187200 Issued in NJ
Legal business name
EVERGREEN HOME HEALTH CARE AGENCY INC.
Practice address
13 Lake View Blvd
Edison, NJ 08817-5419
Phone
(848) 459-8301
Fax
(888) 664-5617
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ms. Rosaline Shau
Title
Vice President
Phone
(848) 459-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0187200 NJ Primary

Addresses

Primary practice location

13 Lake View Blvd
Edison, NJ 08817-5419

Mailing address

13 Lake View Blvd
Edison, NJ 08817-5419
Phone (848) 459-8301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1710391990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAKE VIEW BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175419",
            "telephone_number": "848-459-8301",
            "fax_number": "888-664-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAKE VIEW BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175419",
            "telephone_number": "848-459-8301",
            "fax_number": "888-664-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOME HEALTH CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAU",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "848-459-8301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0187200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.