EVERGREEN COMMONS INC. NPI 1861607517

NPI Information

NPI: 1861607517
Provider Name: EVERGREEN COMMONS, INC.

Doing Business As: EVERGREEN COMMONS SENIOR CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
480 STATE ST
HOLLAND, MI
ZIP 49423
Phone: (616) 396-7100
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EVERGREEN COMMONS, INC. is an adult day care clinic center in Holland, MI. EVERGREEN COMMONS, INC. NPI is 1861607517. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Commons Senior Center.

The provider's business location address is:

480 STATE ST
HOLLAND, MI
ZIP 49423-832
Phone: (616) 396-7100
Fax: (616) 396-9736

The provider's authorized official is Suzzanne Sholes .
The authorized official title is Director Of The Day Center and has the following contact phone number (269) 352-9029.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 12/1/2022.

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	385H00000X	Respite Care				No
2	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

NPI Synchronization or Removal

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