Organization Active NPI

Evergreen Day Care, Inc.

  • In Home Supportive Care Agency
  • Kansas City, KS
National Provider Identifier
1962826875
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Feb 12, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.