Active NPIOrganization

Evergreen Court Home For Adults Sp LLC

Assisted Living Facility in Spring Valley, New York

NPI Number1295284453
Practice location
65 Lafayette St, Spring Valley, NY 10977-5184
Fax
—
Last updated
September 29, 2016

Evergreen Court Home For Adults Sp LLC is a healthcare organization based in Spring Valley, NY. Evergreen Court Home For Adults Sp LLC practices in Spring Valley, NY. The NPI Number for Evergreen Court Home For Adults Sp LLC is 1295284453 and holds a License No. 620-F-078 (NY). The current practice location address for Evergreen Court Home For Adults Sp LLC is 65 Lafayette St, Spring Valley, NY 10977-5184 and can be reached out via phone at 845-356-7700.

Provider Profile Details

NPI Number
1295284453
Provider Name
Evergreen Court Home For Adults Sp LLC
Provider Entity Type
Organization
Address
65 Lafayette St, Spring Valley, NY 10977-5184
Phone Number
845-356-7700
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Joseph Schonberger · Member · 732-363-7770
Provider Enumeration Date
September 29, 2016
Last Update Date
September 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Lafayette St
Spring Valley, NY 10977-5184
Zip
10977-5184
Phone Number
845-356-7700
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
29 Whispering Pines Ln
Lakewood, NJ 08701-1421
City
Lakewood
State
NJ
Zip
08701-1421

License Information

License Number
620-F-078
License State
NY
Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evergreen Court Home For Adults Sp LLC?

The NPI number of Evergreen Court Home For Adults Sp LLC is 1295284453. It was assigned on September 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Evergreen Court Home For Adults Sp LLC?

Evergreen Court Home For Adults Sp LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in NY under license number 620-F-078.

Where does Evergreen Court Home For Adults Sp LLC practice?

The practice location is 65 Lafayette St, Spring Valley, NY 10977-5184. The office can be reached at 845-356-7700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295284453 directly on the NPPES registry website.

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