Evergreen Valley Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN VALLEY HOME HEALTH LLC

Practice address

325 S 1St St # 207
San Jose, CA 95113-2835

Phone

(408) 416-3030

Fax

(408) 834-7618

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Cory Tran, DPT

Title

Owner, President

Phone

(408) 416-3030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nguyen Khoi Tran DO, DPT

  • Physical Therapist
  • San Jose, CA
  • NPI 1013377035
  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1447025614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 1ST ST # 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132835",
            "telephone_number": "408-416-3030",
            "fax_number": "408-834-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 1ST ST # 207",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132835",
            "telephone_number": "408-416-3030",
            "fax_number": "408-834-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN VALLEY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "408-416-3030",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Everguard Home Care LLC
• Kate Shirley Everhardt
• Everly Care Home LLC
• Evonne Ehimeohomon Evien, RN

• Home Health Agency in San Jose, CA
• Providers in San Jose, 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 Dec 18, 2023; 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.