NPIMap

Organization Active NPI

Evergreen Bay Family Care, Inc.

  • In Home Supportive Care Agency
  • San Mateo, CA
National Provider Identifier
1386997070
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERGREEN BAY FAMILY CARE, INC.
Doing business as
Home Helpers
Practice address
1900 S Norfolk St Ste 350
San Mateo, CA 94403-1171
Phone
(650) 532-3122
Fax
(650) 240-3860
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Ms. Peggy Milne
Title
Owner/President
Phone
(650) 532-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1900 S Norfolk St Ste 350
San Mateo, CA 94403-1171

Mailing address

1900 S Norfolk St Ste 350
San Mateo, CA 94403-1171
Phone (650) 532-3122

Other names 1

  • Home Helpers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Bay Family Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1386997070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 350",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031171",
            "telephone_number": "650-532-3122",
            "fax_number": "650-240-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 350",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031171",
            "telephone_number": "650-532-3122",
            "fax_number": "650-240-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BAY FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MILNE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-532-3122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.