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EVERGREEN HEIGHTS
NPI 1760883383
Assisted Living Facility in Weedsport, NY

Active since September 15, 2014
8939 OAKLAND ST, WEEDSPORT, NY 13166(315) 834-6142(315) 834-8960 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evergreen Heights NPPES

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

EVERGREEN HEIGHTS (NPI 1760883383) is a healthcare organization registered as an assisted living facility in Weedsport, New York and active in the NPI registry since September 2014. The organization lists Thomas Carlson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760883383
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCENTRAL NEW YORK ADULT HOMES INC
Location Address8939 OAKLAND STWeedsport, NY 13166-9417
Mailing Address8939 Oakland StWeedsport, NY 13166-9417 · (315) 834-6142 · Fax (315) 834-8960
Phone(315) 834-6142
Fax(315) 834-8960
Organization SubpartNo
Authorized OfficialThomas CarlsonExecutive Director · (315) 834-6142
Enumeration DateSeptember 15, 2014
✔ NPI 1760883383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NY · 050-E-010
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

8939 OAKLAND ST, Weedsport, NY 13166
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Other Names 1

Doing Business AsEvergreen Heights

Other Identifiers 2

Other050-E-010NY · New York State Department Of Health Operating Certificate
OtherAF0158BNY · Facility Identification Number

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 Central New York Adult Homes Inc's NPI number?

The NPI number for Central New York Adult Homes Inc is 1760883383. It was assigned to this organization in the NPPES registry on September 15, 2014.

Where is Central New York Adult Homes Inc located?

Central New York Adult Homes Inc is located at 8939 Oakland St, Weedsport, NY 13166. The listed phone number is (315) 834-6142.

What is Central New York Adult Homes Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Central New York Adult Homes Inc was last updated on September 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.