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EVERGREEN ADULT MEDICAL DAY CARE
NPI 1932582715
Clinic/Center - Adult Day Care in Gaithersburg, MD

Active since June 30, 2015CLIA 21D2097314 · Waiver
9290 GAITHER RD, GAITHERSBURG, MD 20877(301) 527-1100(301) 658-3240 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Adult Medical Day Care NPPES

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

EVERGREEN ADULT MEDICAL DAY CARE (NPI 1932582715) is a healthcare organization registered as an adult day care in Gaithersburg, Maryland and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Jaden Joon Kim, Director, as its authorized official.

NPPES Registry Identity

NPI1932582715
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameEVERGREEN ADULT MEDICAL DAY CARE
Location Address9290 GAITHER RDGaithersburg, MD 20877-1420
Mailing Address9290 Gaither RdGaithersburg, MD 20877-1420 · (301) 527-1100 · Fax (301) 658-3240
Phone(301) 527-1100
Fax(301) 658-3240
Organization SubpartNo
Authorized OfficialJaden Joon KimDirector · (301) 527-1100
Enumeration DateJune 30, 2015
✔ NPI 1932582715 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 MD · 15011A
9290 GAITHER RD, Gaithersburg, MD 20877
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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 21D2097314

Evergreen Adult Medical Day Care · Gaithersburg, MD
Active · expires Jun 11, 2027
CLIA Number21D2097314
Laboratory TypeAdult Med Day Care
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMinyoung Kim
Laboratory Phone(301) 527-1100
Laboratory LocationEvergreen Adult Medical Day Care9290 Gaither Road, Gaithersburg, MD 20877
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Day Care's NPI number?

The NPI number for Evergreen Adult Medical Day Care is 1932582715. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Evergreen Adult Medical Day Care located?

Evergreen Adult Medical Day Care is located at 9290 Gaither Rd, Gaithersburg, MD 20877. The listed phone number is (301) 527-1100.

What is Evergreen Adult Medical Day Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Evergreen Adult Medical Day Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2097314) is associated with this NPI, valid through June 11, 2027. 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 Adult Medical Day Care was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.