EVERGREEN ADULT DAY CARE IN NY, INC – NPI #1851641500
Clinic/Center

EVERGREEN ADULT DAY CARE IN NY, INC is an AHC clinic located in FLUSHING, NY. NPPES has assigned the NPI number 1851641500 to EVERGREEN ADULT DAY CARE IN NY, INC on September 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 4 years ago on Jul 29, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN ADULT DAY CARE IN NY, INC below.

NPI Profile for
EVERGREEN ADULT DAY CARE IN NY, INC

NPI Number
1851641500
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN ADULT DAY CARE IN NY, INC
Primary location
144-74 NORTHERN BLVD
2 FL.
FLUSHING, NY 11354
Phone: (718) 321-2112 Fax: (718) 925-4105
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HYUN JONG ICOO
PRESIDENT
Phone: (718) 321-2112
Updated
Certification Date
Jul 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.