EVERGREEN ADULT DAY CARE IN NY, INC
NPI 1346114352
Clinic/Center - Adult Day Care in Flushing, NY

NPI Status: Active since October 02, 2025

Contact Information

15012 ROOSEVELT AVE
FLUSHING, NY
ZIP 11354
Phone: (917) 563-1214
Fax: (917) 563-1187

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  • Organization
  • Clinic/Center
  • Adult Day Care

About EVERGREEN ADULT DAY CARE IN NY, INC

This page provides the complete NPI Profile along with additional information for Evergreen Adult Day Care In Ny, Inc, a provider established in Flushing, New York operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1346114352 assigned on October 2025. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is So Mi Shin (Program Director)

NPI
1346114352
Provider Name
EVERGREEN ADULT DAY CARE IN NY, INC
Entity Type
Organization
Location Address
15012 ROOSEVELT AVE FLUSHING, NY 11354
Location Phone
(917) 563-1214
Location Fax
(917) 563-1187
Mailing Address
15012 ROOSEVELT AVE FLUSHING, NY 11354
Mailing Phone
(917) 563-1214
Mailing Fax
(917) 563-1187
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-02-2025
Last Update Date
10-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SO MI SHIN

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(917) 941-4844

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346114352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 2 + 1 + 8 + 3 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1346114352.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346114352, enumerated as an "organization" on October 02, 2025.

The provider is located at 15012 ROOSEVELT AVE FLUSHING, NY 11354 and the phone number is (917) 563-1214.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.