Active NPI
Evergreen World Inc
- Adult Day Care Clinic/Center
- Garden Grove, CA
National Provider Identifier
1972646743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Adhc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Westminster, CA
- NPI 1750577110
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.