Organization Active NPI

Evergreen World Inc

  • Adult Day Care Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1972646743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EVERGREEN WORLD INC
Practice address
9856 Westminster Ave
Garden Grove, CA 92844-2907
Phone
(714) 638-1818
Fax
(714) 638-3828
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phil Cheng
Title
Ceo
Phone
(714) 638-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

9856 Westminster Ave
Garden Grove, CA 92844-2907

Mailing address

9856 Westminster Ave
Garden Grove, CA 92844-2907
Phone (714) 638-1818

National Provider Directory

National Provider Directory
Tax ID family
Evergreen World Adhc2 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.

Locations

9856 Westminster Ave
Garden Grove, CA 92844
Phone (714) 638-1818

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442907",
            "telephone_number": "714-638-1818",
            "fax_number": "714-638-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442907",
            "telephone_number": "714-638-1818",
            "fax_number": "714-638-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WORLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-638-1818",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.