EVERGREEN CENTER, INC.


Address: 345 Fortune Blvd, Milford, MA 01757-1723
Phone: 5084782631

EVERGREEN CENTER, INC. (NPI# 1093922924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093922924
Entity Type Organization
Organization Name EVERGREEN CENTER, INC.
Practice Address 345 Fortune Blvd
Milford
MA 01757-1723
Practice Telephone 5084782631
Mailing Telephone 5084782631
Enumeration Date 2007-05-17
Last Update Date 2020-08-22
Authorized Official Name DR. ROBERT F LITTLETON JR. (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5084733422
Authorized Official Credential ED.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 345 FORTUNE BLVD
City MILFORD
State MA
Zip Code 01757-1723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013067834 Jo-ann Otlin Speech-Language Pathologist 345 Fortune Blvd, Milford, MA 01757-1723 2007-01-12
1194377895 Savannah Strange Speech-Language Pathologist 345 Fortune Blvd, Milford, MA 01757-1723 2019-07-12
1093271488 Imani Parks Occupational Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2019-02-11
1891249421 Teresa Colella Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2016-08-11
1760834113 Alice C Verrill Early Intervention Provider Agency 345 Fortune Blvd, Milford, MA 01757-1723 2016-07-11
1447601554 Alexandra Taveras Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2016-06-29
1649635798 Mia Zaniboni Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2015-12-16
1467826743 Barbara Jean Throwe Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2015-11-24
1619358140 Nicole Di Lorenzo Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2015-06-10
1275912024 Jennifer Jean Maillet Developmental Therapist 345 Fortune Blvd, Milford, MA 01757-1723 2015-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326686825 Lisa Marie Villa Physical Therapist 37 Birch Street, Milford, MA 01757 2019-12-16
1689217739 Aleosa Assurance Healthcare LLC In Home Supportive Care 199 Main St # 4, Milford, MA 01757 2019-10-22
1578028494 Point of Healing Acupuncture LLC Acupuncturist 114 Water Street, Building 1, Milford, MA 01757 2019-02-05
1205354701 Cristina Alexandra Cruz Psychologist 10 Asylum Street, Milford, MA 01757 2017-09-05
1316460694 Kayla Supple Behavioral Analyst 7 Caroline Drive, Milford, MA 01757 2017-07-19
1487176111 Kelsey Elizabeth Meleady Developmental Therapist 421 Fortune Boulevard, Milford, MA 01757 2017-07-14
1376065748 Roberta Marie Mcleod Developmental Therapist 321 Fortune Boulevard, Milford, MA 01757 2017-07-07
1124442884 Cornerstone At Milford Assisted Living Facility 11 Birch St., Milford, MA 01757 2014-02-14
1861835126 Haylie Nichele Fuhrmann Social Worker 32 Hamilton St, Milford, MA 01757 2013-04-16
1558602680 Lauren Kate Stasiukiewicz Developmental Therapist 321 Forture Blvd, Milford, MA 01757 2013-03-14
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366979957 Lee Homes, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 215 E Commerce St, Milford, MI 48381-1919 2017-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578015038 Leander House, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 48 West Ave, Great Barrington, MA 01230-1812 2016-11-01
1245609064 Mohammed Eisa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 759 Bennington St, 1, Boston, MA 02128-1133 2015-09-22
1386901544 Esther Sterling Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5500 N Main St Apt 15301, Fall River, MA 02720-2077 2012-04-12
1467768812 Latham Centers, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1646 Route 6a, Brewster, MA 02631-1716 2010-08-24
1699958025 Judge Rotenberg Educational Center, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 240 Turnpike St, Canton, MA 02021-2359 2007-12-07
1669696860 Dr. Franklin Perkins School Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 200 Harvard Rd, Lancaster, MA 01523-2505 2007-04-12
1174649081 Crystal Springs, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 38 Narrows Road, Assonet, MA 02702-0372 2007-03-22
1811904394 Whitney Academy, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 85 Dr. Braley Road, E. Freetown, MA 02717 2006-08-01
1689919516 Criterion Child Enrichment Criterion-middlesex Early Intervention Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 651 Franklin St, Framingham, MA 01702-2919 2012-12-04
1710111422 Merrimack Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 365 East St, Tewksbury, MA 01876-1950 2009-05-08
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Competitor

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City MILFORD
Zip Code 01757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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