Evergreen Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERGREEN CARE, INC.

Practice address

17215 Studebaker Rd
Suite 250
Cerritos, CA 90703-2524

Phone

(562) 402-4299

Fax

(562) 402-4290

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John Jwa-Hee Ahn

Title

President

Phone

(562) 402-4299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1144591116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD",
            "address_2": "SUITE 250",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032548",
            "telephone_number": "562-402-4299",
            "fax_number": "562-402-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD",
            "address_2": "SUITE 250",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032524",
            "telephone_number": "562-402-4299",
            "fax_number": "562-402-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JWA-HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-402-4299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther L. Ahn Optometric Professional Corporation
• Marvin Ventura Estrella
• Michele Dina Evans, RN
• Monique Evans
• Ever City Care Homes
• Evergreen Home Health, Inc.
• Evergreen Hospice Care, Inc.
• Evergreen Pharmaceutical of California, LLC (Omnicare of Cerritos)
• Ann Marie Evidente, OTR/L
• Eye Cue Mental Health

• In Home Supportive Care Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.