Active NPIOrganization

Evergreen East Orange, LLC

Clinic/Center, Adult Day Care in East Orange, New Jersey

NPI Number1962952119
Practice location
88 Evergreen Pl, East Orange, NJ 07018-2101
Fax
—
Last updated
October 12, 2016

Evergreen East Orange, LLC is a healthcare organization based in East Orange, NJ. Evergreen East Orange, LLC practices in East Orange, NJ. The NPI Number for Evergreen East Orange, LLC is 1962952119. The current practice location address for Evergreen East Orange, LLC is 88 Evergreen Pl, East Orange, NJ 07018-2101 and can be reached out via phone at 732-986-6978.

Provider Profile Details

NPI Number
1962952119
Provider Name
Evergreen East Orange, LLC
Provider Entity Type
Organization
Address
88 Evergreen Pl, East Orange, NJ 07018-2101
Phone Number
732-986-6978
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Mr. Divyesh A Mehta · Manager · 732-208-4833
Other Names
East Orange Adult Day Health Center (Doing Business As)
Provider Enumeration Date
October 12, 2016
Last Update Date
October 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 Evergreen Pl
East Orange, NJ 07018-2101
Zip
07018-2101
Phone Number
732-986-6978
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
395 New Dover RD
Colonia, NJ 07067-2703
City
Colonia
State
NJ
Zip
07067-2703
Phone Number
732-986-6978

License Information

Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · 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 East Orange, LLC?

The NPI number of Evergreen East Orange, LLC is 1962952119. It was assigned on October 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Evergreen East Orange, LLC?

Evergreen East Orange, LLC is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).

Where does Evergreen East Orange, LLC practice?

The practice location is 88 Evergreen Pl, East Orange, NJ 07018-2101. The office can be reached at 732-986-6978 (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 1962952119 directly on the NPPES registry website.

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