EVERGREEN ADULT DAY HEALTH CENTER (NPI# 1841712981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841712981 |
| Entity Type | Organization |
| Organization Name | EVERGREEN ADULT DAY HEALTH CENTER |
| Practice Address |
15 Commonwealth Ave Woburn MA 01801-5193 |
| Mailing Address |
5 King Arthur Rd Shrewsbury MA 01545-7750 |
| Practice Telephone | 7742450727 |
| Mailing Telephone | 7742450727 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-12-09 |
| Authorized Official Name | MRS. RACHANA SHAH (PRESIDENT) |
| Authorized Official Telephone | 7742450727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVERGREEN ADULT DAY HEALTH CENTER, INC | 15 Commonwealth Ave Ste 110, Woburn, MA 01801-5193 |
| Street Address |
15 COMMONWEALTH AVE |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407949043 | Elvira Quiroga Johnson | Dietitian, Registered | 15 Commonwealth Ave, Neighborhood Diabetes, Woburn, MA 01801-5193 | 2006-10-02 |
| 1992036263 | Julie Khut | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-26 |
| 1679804942 | Jennifer Fasano | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-26 |
| 1760713127 | Sandra Silva Costa | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-26 |
| 1104157536 | Verona Austin | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-25 |
| 1982935318 | Danubia Costa | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-25 |
| 1912238346 | Mansi Manek | Pharmacist | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-25 |
| 1447581863 | Amanda Prior | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2010-01-25 |
| 1790011294 | Shannon Ssenyondo | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2009-10-19 |
| 1407182918 | Mildred Rivera | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285094656 | A Joyful Adult Health Care Center LLC | Clinic/Center | 112 Cummings Park, Woburn, MA 01801-2128 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818283 | Active Ma, Inc. | Clinic/Center | 595 Pleasant St, Norwood, MA 02062-4603 | 2020-07-13 |
| 1154949592 | Active Ma, Inc. | Clinic/Center | 725a Myles Standish Blvd, Taunton, MA 02780-7332 | 2020-07-13 |
| 1154954311 | Zdorovie Community Center, Inc | Clinic/Center | 143 California St, Newton, MA 02458-1023 | 2020-02-17 |
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518504505 | Adult Day Health, Inc. | Clinic/Center | 41 Capital Dr, West Springfield, MA 01089-1344 | 2019-12-09 |
| 1154968451 | Adult Day Health, Inc. | Clinic/Center | 52 Wayside Ave Ste B, West Springfield, MA 01089-1361 | 2019-12-05 |
| 1245889351 | American Adult Daycare of Middlesex Inc | Clinic/Center | 84 Brick Kiln Rd, Chelmsford, MA 01824-3218 | 2019-09-11 |
| 1326690074 | Millennium Home Adult Day Healthcare | Clinic/Center | 5 Lyberty Way, Westford, MA 01886-3617 | 2019-07-12 |
| 1295395077 | Adult Day Health, Inc. | Clinic/Center | 1820 Turnpike St Ste 106, North Andover, MA 01845-6399 | 2019-06-14 |
| 1114587995 | Adult Day Health, Inc. | Clinic/Center | 600 Cummings Ctr Ste 176x, Beverly, MA 01915-6108 | 2019-06-14 |
| 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.