Evergreen Home Health, Inc. in Cerritos - Home Health
Evergreen Home Health, Inc. - NPI 1104821537
Evergreen Home Health, Inc. is a Home Health in Cerritos, California. Evergreen Home Health, Inc. practices all healthcare services and medical treatments related to Home Health. The NPI Number for Evergreen Home Health, Inc. is 1104821537. The last update date is 2007-10-08.
Evergreen Home Health, Inc.'s current location address is 17215 Studebaker Rd, Cerritos, California. You can contact this provider via phone number 5628609444 and fax number 5628608334. The mailing address for Evergreen Home Health, Inc. is 17215 Studebaker Rd, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Home Health, Inc. |
|---|---|
| Address | 17215 Studebaker Rd, Cerritos, California |
| Phone Number | 5628609444 |
| Fax Number | 5628608334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ahn Y Lydia |
| Credentials | RN, PHN |
| Telephone Number | 5628609444 |
NPI Number Detail
| NPI Number | 1104821537 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2007-10-08 |
Provider Mailing Address Detail
| Address | 17215 Studebaker Rd |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 9070325220 |
| Phone Number | 5628609444 |
| Fax Number | 5628608334 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
|
Definition: 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, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HHA08132F | CA | -- |
Post Comment/ Review Below
What is the Evergreen Home Health, Inc.'s unique identification number?
The Evergreen Home Health, Inc. has been assigned the NPI (National Provider Identifier) Number 1104821537 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Evergreen Home Health, Inc. is physically located?
The Evergreen Home Health, Inc. is physically situated at the following address: 17215 Studebaker Rd, Cerritos, CA, 9070325220.
What is Evergreen Home Health, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evergreen Home Health, Inc. is Home Health, and the taxonomy code that categorizes this field of expertise is 251E00000X.
On what date did Evergreen Home Health, Inc. receive its 1104821537 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Home Health, Inc. was assigned its 1104821537 on 2005-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Evergreen Home Health, Inc. last refreshed?
The information related to the Evergreen Home Health, Inc., including its address, specialty, and other relevant details, was last updated on 2007-10-08.