Active NPIOrganization

Evergreen Adult Foster Care LLC

Foster Care Agency in Worcester, Massachusetts

NPI Number1306750542
Practice location
12 Jonathan Cir, Worcester, MA 01604-2242
Fax
—
Last updated
October 2, 2026

Evergreen Adult Foster Care LLC is a healthcare organization based in Worcester, MA. Evergreen Adult Foster Care LLC practices in Worcester, MA. The NPI Number for Evergreen Adult Foster Care LLC is 1306750542. The current practice location address for Evergreen Adult Foster Care LLC is 12 Jonathan Cir, Worcester, MA 01604-2242 and can be reached out via phone at 931-378-1371.

Provider Profile Details

NPI Number
1306750542
Provider Name
Evergreen Adult Foster Care LLC
Provider Entity Type
Organization
Address
12 Jonathan Cir, Worcester, MA 01604-2242
Phone Number
931-378-1371
Primary Taxonomy
Foster Care Agency · 253J00000X
Organization Subpart
No
Authorized Official
Caroline Opondo, RN · RN - Manager · 931-378-1371
Provider Enumeration Date
October 2, 2026
Last Update Date
October 2, 2026
Certification Date
October 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Jonathan Cir
Worcester, MA 01604-2242
Zip
01604-2242
Phone Number
931-378-1371
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
12 Jonathan Cir
Worcester, MA 01604-2242
City
Worcester
State
MA
Zip
01604-2242
Phone Number
931-378-1371

License Information

Taxonomy
Foster Care Agency · 253J00000X · 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 Adult Foster Care LLC?

The NPI number of Evergreen Adult Foster Care LLC is 1306750542. It was assigned on October 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Evergreen Adult Foster Care LLC?

Evergreen Adult Foster Care LLC is registered under the primary taxonomy Foster Care Agency (code 253J00000X).

Where does Evergreen Adult Foster Care LLC practice?

The practice location is 12 Jonathan Cir, Worcester, MA 01604-2242. The office can be reached at 931-378-1371 (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 1306750542 directly on the NPPES registry website.

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