Active NPI
Evergreen Day Care, Inc.
- In Home Supportive Care Agency
- Kansas City, KS
National Provider Identifier
1962826875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EVERGREEN DAY CARE, INC.
- Practice address
- 1030 Orville Ave
Kansas City, KS 66102-5218 - Phone
- (913) 371-0505
- NPI assigned
- Feb 12, 2014
- 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
- Mrs. Hyebum Suh
- Title
- President
- Phone
- (913) 371-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1030 Orville Ave
Kansas City, KS 66102-5218
Mailing address
1030 Orville Ave
Kansas City, KS 66102-5218
Phone (913) 371-0505
National Provider Directory
National Provider DirectoryLocations
1030 Orville Ave
Kansas City, KS 66102
Phone (913) 371-0505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1962826875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 ORVILLE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025218",
"telephone_number": "913-371-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 ORVILLE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025218",
"telephone_number": "913-371-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN DAY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "SUH",
"authorized_official_first_name": "HYEBUM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-371-0505",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.