Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Adult Day Care in Ny, Inc

Organization Adult Day Care Clinic/Center · NPI 1346114352

Evergreen Adult Day Care in Ny, Inc is an Adult Day Care Clinic/Center in Flushing, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15012 Roosevelt Ave
Flushing, NY 11354-4936
Phone: (917) 563-1214
Fax: (917) 563-1187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Day Care Clinic/Center (primary) Taxonomy 261QA0600X

Record details

NPI number1346114352
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEvergreen Adult Day Care in Ny, Inc
Authorized official So Mi Shin — Program Director · (917) 941-4844
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address15012 Roosevelt Ave, Flushing, NY 11354-4936

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