Evergreen Senior Day Center

LBN: Evergreen Senior Day Center
Evergreen Senior Day Center is an health care organization with primary practice located at 9405 Guilford Rd , Columbia MD 21046-1911. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Evergreen Senior Day Center can be contacted via phone (240) 456-0635, or through Grenway, Marian D via phone (240) 456-0635.

Contact Information

Primary practice address
9405 Guilford Rd Columbia MD 21046-1911
Phone: (240) 456-0635
Fax: (240) 456-0636
Website:
Map and Directions
Authorized official contact:
Name: Grenway, Marian D
Phone: (240) 456-0635

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 10599 Maryland

Profile Details

NPI number 1508057175
LBN Legal business name Evergreen Senior Day Center
DBA Doing business as
Authorized official Grenway, Marian D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2007
Last updated Mar 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508057175 NPPES
Maryland MEDICAID 479200900

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