EVERGREEN WOODS
NPI 1417938580
Skilled Nursing Facility in North Branford, CT

Active since November 07, 2005CLIA 07D0666310 · Waiver
88 NOTCH HILL RD, NORTH BRANFORD, CT 06471(203) 483-3205(203) 483-3202 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evergreen Woods NPPES

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

EVERGREEN WOODS (NPI 1417938580) is a healthcare organization registered as a skilled nursing facility in North Branford, Connecticut and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Constance Waldinger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417938580
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN WOODS
Location Address88 NOTCH HILL RDNorth Branford, CT 06471-1846
Mailing Address88 Notch Hill RdNorth Branford, CT 06471-1846 · (203) 483-3205 · Fax (203) 483-3202
Fax(203) 483-3202
Organization SubpartNo
Authorized OfficialConstance WaldingerExecutive Director · (203) 488-8000
Enumeration DateNovember 7, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1417938580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CT · 2189C
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

88 NOTCH HILL RD, North Branford, CT 06471

Other Identifiers 1

Other2189CCT · Facility License Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0666310

Evergreen Woods · North Branford, CT
Active · expires Aug 31, 2026
CLIA Number07D0666310
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCynthia Delaney Rn
Laboratory Phone(203) 488-8000
Laboratory LocationEvergreen Woods88 Notch Hill Rd, North Branford, CT 06471
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Skilled Nursing Facility
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Skilled Nursing Facility
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Occupational Therapist
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Occupational Therapy Assistant
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Physical Therapy Assistant
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471
Physical Therapy Assistant
88 NOTCH HILL RD
NORTH BRANFORD, CT 06471

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 Woods's NPI number?

The NPI number for Evergreen Woods is 1417938580. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Evergreen Woods located?

Evergreen Woods is located at 88 Notch Hill Rd, North Branford, CT 06471. The listed phone number is (203) 483-3205.

What is Evergreen Woods's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evergreen Woods hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0666310) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Woods was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.