EVERGREEN ADULT DAY HEALTH CENTER NPI 1841712981

NPI Information

NPI: 1841712981
Provider Name: EVERGREEN ADULT DAY HEALTH CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 22D2146190

Address:
15 COMMONWEALTH AVE
WOBURN, MA
ZIP 01801
Phone: (774) 245-0727
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EVERGREEN ADULT DAY HEALTH CENTER is an adult day care clinic center in Woburn, MA. EVERGREEN ADULT DAY HEALTH CENTER NPI is 1841712981. The provider is registered as an organization entity type.

The provider's business location address is:

15 COMMONWEALTH AVE
WOBURN, MA
ZIP 01801-193
Phone: (774) 245-0727

The provider's authorized official is Rachana Shah .
The authorized official title is President and has the following contact phone number (774) 245-0727.

The CLIA number assigned to this NPI record is 22D2146190 - other - adult day health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 12/9/2017.

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			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

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