EVERGREEN CAREGIVERS, INC. (NPI# 1629584081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584081 |
| Entity Type | Organization |
| Organization Name | EVERGREEN CAREGIVERS, INC. |
| Practice Address |
846 W Palmdale Blvd Palmdale CA 93551-4250 |
| Mailing Address |
38713 Tierra Subida Ave Ste 200-126 Palmdale CA 93551-4562 |
| Practice Telephone | 6613101989 |
| Practice Fax Number | 6618885821 |
| Mailing Telephone | 6613101989 |
| Mailing Fax Number | 6618885821 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | MR. PAUL LYNN WILSON (CEO) |
| Authorized Official Telephone | 6613101989 |
| Authorized Official Credential | CHAA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
846 W PALMDALE BLVD |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| 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 |
|---|---|---|---|---|
| 1265946065 | 3faces Ranch, LLC | In Home Supportive Care | 2039 W Avenue M12, Palmdale, CA 93551-1710 | 2017-12-01 |
| 1417249913 | Bigelow Family Home Care | In Home Supportive Care | 37412 Queen Anne Pl, Palmdale, CA 93551-6900 | 2011-05-03 |
| 1093356404 | Alden Home Health Care Corporation | In Home Supportive Care | 1061 W Avenue M14 Ste A, Palmdale, CA 93551-1430 | 2019-10-07 |
| 1588116453 | Garlandw Homecare Agency, LLC | In Home Supportive Care | 1008 W Avenue M14, Suite A/d147, Palmdale, CA 93551-1441 | 2016-10-26 |
| 1174891170 | Children's Bureau | In Home Supportive Care | 1529 E Palmdale Blvd, Palmdale, CA 93550-2034 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619434 | Prestige Home Care Angels Inc | In Home Supportive Care | 4531 Bedilion St, Los Angeles, CA 90032-2001 | 2020-11-03 |
| 1316547458 | Seniors Who Help Seniors Inc. | In Home Supportive Care | 577 E Elder St Ste U, Fallbrook, CA 92028-3079 | 2020-10-28 |
| 1386244465 | Silver Screen Senior Care LLC | In Home Supportive Care | 1333 S Beverly Glen Blvd Apt 906, Los Angeles, CA 90024-5277 | 2020-10-28 |
| 1861091373 | C'e Bella Home Care LLC | In Home Supportive Care | 82784 Longfellow Ct, Indio, CA 92201-9326 | 2020-10-26 |
| 1932708591 | At Home Care Companion Services Inc | In Home Supportive Care | 2814 Buttercup Ct, Antioch, CA 94531-6306 | 2020-10-23 |
| 1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
| 1144829912 | A Shade of Love LLC | In Home Supportive Care | 9462 Oak St Apt 8, Bellflower, CA 90706-5264 | 2020-10-22 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1790383172 | Beverley's Home Healthcare LLC | In Home Supportive Care | 2450 E Del Mar Blvd Unit 17, Pasadena, CA 91107-4809 | 2020-10-16 |
| 1467050955 | Health Redesigned | In Home Supportive Care | 12139 Mount Vernon Ave Ste 203, Grand Terrace, CA 92313-5547 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.