EVERGREEN ADULT MEDICAL DAY CARE
NPI 1932582715
Clinic/Center - Adult Day Care in Gaithersburg, MD
NPI Status: Active since June 30, 2015
Contact Information
9290 GAITHER RD
GAITHERSBURG, MD
ZIP 20877
Phone: (301) 527-1100
Fax: (301) 658-3240
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 21D2097314
- CLIA Cert. Type: Other - ADULT MED DAY CARE
- CLIA Exp. Date: 06-11-2027
About EVERGREEN ADULT MEDICAL DAY CARE
This page provides the complete NPI Profile along with additional information for Evergreen Adult Medical Day Care, a provider established in Gaithersburg, Maryland operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1932582715 assigned on June 2015. The practitioner's primary taxonomy code is 261QA0600X with license number 15011A (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Jaden Joon Kim (Director)
- NPI
- 1932582715
- Provider Name
- EVERGREEN ADULT MEDICAL DAY CARE
- Entity Type
- Organization
- Location Address
- 9290 GAITHER RD GAITHERSBURG, MD 20877
- Location Phone
- (301) 527-1100
- Location Fax
- (301) 658-3240
- Mailing Address
- 9290 GAITHER RD GAITHERSBURG, MD 20877
- Mailing Phone
- (301) 527-1100
- Mailing Fax
- (301) 658-3240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2015
- Last Update Date
- 06-30-2015
- Code Navigator
Location Map
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
- License No.
- 15011A
- License State
- MD
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2097314
- Facility Type
- Other - ADULT MED DAY CARE
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- MINYOUNG KIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Adult Medical Day Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1932582715, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932582715, enumerated as an "organization" on June 30, 2015.
The provider is located at 9290 GAITHER RD GAITHERSBURG, MD 20877 and the phone number is (301) 527-1100.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
