EVERGREEN HOME HEALTH, INC. (NPI# 1104821537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104821537 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HOME HEALTH, INC. |
| Practice Address |
17215 Studebaker Rd Ste 270 Cerritos CA 90703-2522 |
| Practice Telephone | 5628609444 |
| Practice Fax Number | 5628608334 |
| Mailing Telephone | 5628609444 |
| Mailing Fax Number | 5628608334 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-10-08 |
| Authorized Official Name | MRS. LYDIA Y AHN (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 5628609444 |
| Authorized Official Credential | RN, PHN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA08132F | 05 |
| Street Address |
17215 STUDEBAKER RD STE 270 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194111377 | Senior First Ipa | Health Maintenance Organization | 17215 Studebaker Rd, #331, Cerritos, CA 90703-2548 | 2015-04-14 |
| 1427494665 | Amey Laura Davis | Marriage & Family Therapist | 17215 Studebaker Rd, Ste 110, Cerritos, CA 90703 | 2013-05-15 |
| 1003154030 | Sandra Kaiser Kaumaya | Counselor | 17215 Studebaker Rd, 180, Cerritos, CA 90703-2548 | 2013-01-25 |
| 1023376852 | Dennis D. Steele, Phd A Psychological Corporation | Psychologist | 17215 Studebaker Rd, Suite 300, Cerritos, CA 90703-2548 | 2012-04-30 |
| 1144591116 | Evergreen Care, Inc. | In Home Supportive Care | 17215 Studebaker Rd, Suite 250, Cerritos, CA 90703-2524 | 2012-01-23 |
| 1184915779 | Michael Franc | Psychologist | 17215 Studebaker Rd, Ste 300, Cerritos, CA 90703-2548 | 2011-04-29 |
| 1346558152 | Patricia Laurie Field | Psychologist | 17215 Studebaker Rd, Suite300, Cerritos, CA 90703-2548 | 2010-09-15 |
| 1063725661 | Cynthia Alvarez Clegg | Nurse Practitioner | 17215 Studebaker Rd, Suite 320, Cerritos, CA 90703-2548 | 2010-07-23 |
| 1720309610 | Ngoctram Thi Vo | Psychiatry & Neurology | 17215 Studebaker Rd, Suite 300, Cerritos, CA 90703-2548 | 2010-06-15 |
| 1104143197 | Poonam Nina Banerjee | Clinical Neuropsychologist | 17215 Studebaker Rd, Suite 300, Cerritos, CA 90703-2548 | 2010-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226322 | Healthview Home Health, LLC | Home Health | 17785 Center Court Dr N Ste 325, Cerritos, CA 90703-9345 | 2020-02-12 |
| 1548722945 | I Heart My Home Health LLC | Home Health | 11306 183rd St Ste 305, Cerritos, CA 90703-5441 | 2019-04-03 |
| 1952884504 | Sapphire Jc Global Nursing Inc | Home Health | 18000 Studebaker Rd Ste 555e, Cerritos, CA 90703-7932 | 2018-09-10 |
| 1245604214 | Dental Hygiene Practice of Shanay Fry, Rdhap | Home Health | 13646 Abana Dr, Cerritos, CA 90703-1003 | 2015-11-13 |
| 1619365111 | Terri Houston | Home Health | 19403 Elmira Ct, Cerritos, CA 90703-6510 | 2015-01-06 |
| 1336421072 | Trinity Home Health LLC | Home Health | 17316 Edwards Rd, #260, Cerritos, CA 90703-2446 | 2011-09-19 |
| 1386934644 | Pioneer Home Health Services Inc | Home Health | 20110 Pioneer Blvd, Unit C, Cerritos, CA 90703-7402 | 2011-04-07 |
| 1215160007 | Erg Home Health Provider | Home Health | 11385 183rd St, Cerritos, CA 90703-5434 | 2009-08-27 |
| 1770740656 | Urgent Home Health Care, Inc. | Home Health | 17315 Studebaker Rd Ste 310, Cerritos, CA 90703-2564 | 2008-05-19 |
| 1679758403 | Privilege Home Services, Inc. | Home Health | 11395 183rd St, Cerritos, CA 90703-5434 | 2007-12-28 |
| Find all providers in CERRITOS | ||||
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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.