EVERGREEN ADULT DAY CARE
NPI 1649724089
Clinic/Center - Adult Day Care in Honolulu, HI

Active since August 14, 2016
1124 FORT STREET MALL FL 2, HONOLULU, HI 96813(808) 372-8257 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 5, 2024, Feb 16, 2022, Aug 14, 2016 (3 updates tracked since 2016).

About Evergreen Adult Day Care NPPES

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

EVERGREEN ADULT DAY CARE (NPI 1649724089) is a healthcare organization registered as an adult day care in Honolulu, Hawaii and active in the NPI registry since August 2016. The organization lists Daniel J Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1649724089
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameEVERGREEN ADULT DAY CARE
Location Address1124 FORT STREET MALL FL 2Honolulu, HI 96813-2715
Mailing Address1124 Fort Street Mall Fl 2Honolulu, HI 96813-2715 · (808) 372-8257
Organization SubpartNo
Authorized OfficialDaniel J ParkOwner · (808) 946-7505
Enumeration DateAugust 14, 2016
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1649724089 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
License Licensed in HI · 1-0816
1124 FORT STREET MALL FL 2, Honolulu, HI 96813

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.

Clinic/Center (Adult Day Care)
1124 FORT STREET MALL FL 2
HONOLULU, HI 96813
In Home Supportive Care
1124 FORT STREET MALL FL 2
HONOLULU, HI 96813

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's NPI number?

The NPI number for Evergreen Adult Day Care is 1649724089. It was assigned to this organization in the NPPES registry on August 14, 2016.

Where is Evergreen Adult Day Care located?

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

What is Evergreen Adult Day Care'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 was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.