Evergreen Home Health, Inc.

LBN: Evergreen Home Health, Inc.
Evergreen Home Health, Inc. is an health care organization with primary practice located at 17215 Studebaker Rd Ste 270, Cerritos CA 90703-2522. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Evergreen Home Health, Inc. can be contacted via phone (562) 860-9444, or through Ahn, Lydia Y via phone (562) 860-9444.

Contact Information

Primary practice address
17215 Studebaker Rd Ste 270 Cerritos CA 90703-2522
Phone: (562) 860-9444
Fax: (562) 860-8334
Website:
Map and Directions
Authorized official contact:
Name: Ahn, Lydia Y RN, PHN
Phone: (562) 860-9444

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X California

Profile Details

NPI number 1104821537
LBN Legal business name Evergreen Home Health, Inc.
DBA Doing business as
Authorized official Ahn, Lydia Y RN, PHN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 8th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104821537 NPPES
California MEDICAID HHA08132F

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