EVERGREEN ADULT DAYCARE CENTER INC. NPI 1073049045

NPI Information

NPI: 1073049045
Provider Name: EVERGREEN ADULT DAYCARE CENTER, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3530 JUNCTION BLVD
CORONA, NY
ZIP 11368
Phone: (646) 409-5464
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EVERGREEN ADULT DAYCARE CENTER, INC. is an adult day care clinic center in Corona, NY. EVERGREEN ADULT DAYCARE CENTER, INC. NPI is 1073049045. The provider is registered as an organization entity type.

The provider's business location address is:

3530 JUNCTION BLVD
CORONA, NY
ZIP 11368-743
Phone: (646) 409-5464

The provider's authorized official is Lei Liu .
The authorized official title is Director and has the following contact phone number (646) 409-5464.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care		NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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