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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
345 FORTUNE BLVD |
City | MILFORD |
State | MA |
Zip Code | 01757-1723 |
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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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 |
Find all providers in zip 01757 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
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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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.