Evergreen Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN HEALTH CARE SERVICES

Practice address

12444 Victory Blvd Ste 411-G
North Hollywood, CA 91606-3199

Phone

(818) 304-8020

Fax

(818) 855-8497

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Vardanyan

Title

Ceo,Cfo,Secretary

Phone

(818) 304-8020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757768

Legal name

EVERGREEN HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 14, 2024

Last certification

Nov 14, 2024

Organization structure

CorporationProprietary

Enrollment address

12444 Victory Blvd
Ste 411G
North Hollywood, CA 91606-3199

Listed as

Evergreen Health Care ServicesCCN 757768

Ownership

-

Certified

Nov 14, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Linda Alison Hillier, D.O.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1407029192

  Home health agency

  Care Compare affiliation
• Joseph J. Pachorek, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1881622843

  Home health agency

  Care Compare affiliation
• Alan E Shapiro, M.D.

  • Urology Physician
  • Los Angeles, CA
  • NPI 1104851385

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1053067397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-G",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-304-8020",
            "fax_number": "818-855-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-G",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-304-8020",
            "fax_number": "818-855-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "818-304-8020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etymology Hospice, Inc.
• Ev Home Health Care Inc
• Evan Farr D.D.S Inc
• Ever Wellness Hospice Care, Inc.
• Everest Peak Home Healthcare
• Everlife Urgent Care
• Everloving Health Care Inc
• Every Child Achieves, Inc
• Abby Ewing
• Exceptional Hospice, Inc.

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.