1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Clinic Center
  6. NPI Profile

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

Active since October 02, 2025
15012 ROOSEVELT AVE, FLUSHING, NY 11354(917) 563-1214(917) 563-1187 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Evergreen Adult Day Care In Ny, Inc NPPES

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

EVERGREEN ADULT DAY CARE IN NY, INC (NPI 1346114352) is a healthcare organization registered as an adult day care in Flushing, New York and active in the NPI registry since October 2025. The organization lists So Mi Shin, Program Director, as its authorized official.

NPPES Registry Identity

NPI1346114352
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameEVERGREEN ADULT DAY CARE IN NY, INC
Location Address15012 ROOSEVELT AVEFlushing, NY 11354-4936
Mailing Address15012 Roosevelt AveFlushing, NY 11354-4936 · (917) 563-1214 · Fax (917) 563-1187
Phone(917) 563-1214
Fax(917) 563-1187
Organization SubpartYes
Authorized OfficialSo Mi ShinProgram Director · (917) 941-4844
Enumeration DateOctober 2, 2025
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1346114352 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
15012 ROOSEVELT AVE, Flushing, NY 11354
Open in Google Maps ↗

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 Adult Day Care In Ny, Inc's NPI number?

The NPI number for Evergreen Adult Day Care In Ny, Inc is 1346114352. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Evergreen Adult Day Care In Ny, Inc located?

Evergreen Adult Day Care In Ny, Inc is located at 15012 Roosevelt Ave, Flushing, NY 11354. The listed phone number is (917) 563-1214.

What is Evergreen Adult Day Care In Ny, Inc'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 Adult Day Care In Ny, Inc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.