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EVERGREEN ADC HAWAII
NPI 1063982627
Clinic/Center - Adult Day Care in Honolulu, HI

Active since November 27, 2018
1124 FORT STREET MALL FL 2, HONOLULU, HI 96813(808) 372-8257(808) 946-7571 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2025, Feb 16, 2022, Nov 27, 2018 (3 updates tracked since 2018).

About Evergreen Adc Hawaii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN ADC HAWAII (NPI 1063982627) is a healthcare organization registered as an adult day care in Honolulu, Hawaii and active in the NPI registry since November 2018. The organization lists Daniel Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1063982627
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameEVERGREEN ADC HAWAII
Location Address1124 FORT STREET MALL FL 2Honolulu, HI 96813-2715
Mailing Address1124 Fort Street Mall Fl 2Honolulu, HI 96813-2715 · (808) 372-8257
Phone(808) 372-8257
Fax(808) 946-7571
Organization SubpartNo
Authorized OfficialDaniel ParkOwner · (808) 372-8257
Enumeration DateNovember 27, 2018
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1063982627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
1124 FORT STREET MALL FL 2, Honolulu, HI 96813
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN ADC HAWAII
In Home Supportive Care
1124 FORT STREET MALL FL 2
HONOLULU, HI 96813
Honolulu County (808) 946-7505
EVERGREEN ADULT DAY CARE
Clinic/Center (Adult Day Care)
1124 FORT STREET MALL FL 2
HONOLULU, HI 96813
Honolulu County (808) 372-8257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Adc Hawaii's NPI number?

The NPI number for Evergreen Adc Hawaii is 1063982627. It was assigned to this organization in the NPPES registry on November 27, 2018.

Where is Evergreen Adc Hawaii located?

Evergreen Adc Hawaii is located at 1124 Fort Street Mall Fl 2, Honolulu, HI 96813. The listed phone number is (808) 372-8257.

What is Evergreen Adc Hawaii's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Evergreen Adc Hawaii was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.