EVERGREEN ENRICHMENT CENTER LLC (NPI# 1578915609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578915609 |
| Entity Type | Organization |
| Organization Name | EVERGREEN ENRICHMENT CENTER LLC |
| Practice Address |
9002 Queens Blvd Fl 2 Elmhurst NY 11373-4941 |
| Practice Telephone | 3474596441 |
| Mailing Telephone | 3474596441 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | CHUIKUEN LEE (CEO) |
| Authorized Official Telephone | 3474596441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 344600000X | Taxi | Transportation Services | ||
| N | 347D00000X | Train | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 347C00000X | Private Vehicle | 610801425 | NY | Transportation Services |
| Street Address |
9002 QUEENS BLVD FL 2 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558735399 | Universal Love Social Day Care LLC | Clinic/Center | 9002 Queens Blvd Fl 2, Elmhurst, NY 11373-4941 | 2015-11-17 |
| 1780040972 | Universal Love Social Day Care LLC | Local Education Agency (LEA) | 9002 Queens Blvd Fl 2, Elmhurst, NY 11373-4941 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867108 | Oldsmith Logistics | Private Vehicle | 191 Plains Rd # 3a, Walden, NY 12586-2479 | 2020-06-28 |
| 1457985822 | Five Star Medical Transportationllc | Private Vehicle | Five Star Medical Transportation LLC, 803 Woodbine Ave, Rochester, NY 14619-2326 | 2020-02-25 |
| 1588204135 | Olga Y Burbano | Private Vehicle | 16428 Odonnell Rd, Jamaica, NY 11433-3936 | 2020-01-12 |
| 1801437439 | Mcmurray Transportation Service Inc. | Private Vehicle | 415 Pennsylvania Ave Apt 1, Brooklyn, NY 11207-4737 | 2019-10-04 |
| 1760035943 | Lend A Hand Companion Care Services | Private Vehicle | 652 Hyman Ave, Bay Shore, NY 11706-7511 | 2019-07-17 |
| 1699332189 | Giving Dream | Private Vehicle | 2114 Williamsbridge Rd Ste 112, Bronx, NY 10461-1600 | 2019-05-21 |
| 1255805883 | Medtransport Solutions | Private Vehicle | 198 Maryland Ave Apt D, Staten Island, NY 10305-3065 | 2019-01-16 |
| 1245709575 | Mary Bozkurt | Private Vehicle | 74 Alpine Ave, Queensbury, NY 12804-6003 | 2018-11-15 |
| 1144798745 | Chaise Alexander Williams | Private Vehicle | 94 Dolman Dr, Rochester, NY 14624-2961 | 2018-11-13 |
| 1477040111 | Craig Blenman | Private Vehicle | 14 Manchester Blvd, Wheatley Heights, NY 11798-1519 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.