EVERGREEN BAY FAMILY CARE, INC. (NPI# 1386997070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386997070 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BAY FAMILY CARE, INC. |
| Other Organization Name | HOME HELPERS |
| Practice Address |
1900 S Norfolk St Ste 350 San Mateo CA 94403-1171 |
| Practice Telephone | 6505323122 |
| Practice Fax Number | 6502403860 |
| Mailing Telephone | 6505323122 |
| Mailing Fax Number | 6502403860 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MS. PEGGY MILNE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6505323122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Home Helpers | Doing Business As Name - Organization |
| Street Address |
1900 S NORFOLK ST STE 350 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843115 | Magnusson Enterprises LLC | In Home Supportive Care | 36 42nd Ave, San Mateo, CA 94403-5109 | 2019-10-21 |
| 1417441791 | Spectrum Seniors LLC | In Home Supportive Care | 725 Patricia Ave, San Mateo, CA 94401-3146 | 2018-06-19 |
| 1437496692 | Home Instead Senior Care | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2013-01-08 |
| 1265778583 | Angela J Encarnacion | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2012-12-13 |
| 1053682740 | Magis Care LLC | In Home Supportive Care | 1670 S Amphlett Blvd Ste 225, San Mateo, CA 94402-2511 | 2012-01-26 |
| 1457634065 | Gosula Homecare, Inc. | In Home Supportive Care | 1670 S Amphlett Blvd Ste 214, San Mateo, CA 94402-2511 | 2011-09-21 |
| 1235544552 | Managed Care Inc. | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2014-06-25 |
| 1699103960 | Addus Healthcare, Inc. | In Home Supportive Care | 1730 S Amphlett Blvd, #144, San Mateo, CA 94402-2707 | 2013-10-24 |
| 1891035408 | We Assist LLC | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2013-02-19 |
| 1851639934 | Jsw Home Health Care Associates, Inc | In Home Supportive Care | 177 Bovet Rd, Suite 600, San Mateo, CA 94402-3116 | 2013-01-23 |
| Find all providers in SAN MATEO | ||||
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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.