Organization Active NPI

Evergreen Bay Family Care Inc

Doing business as Home Helpers Healthcare

  • Home Health Agency
  • Half Moon Bay, CA
National Provider Identifier
1932589165
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERGREEN BAY FAMILY CARE INC
Doing business as
Home Helpers Healthcare
Practice address
655 Miramontes St
Half Moon Bay, CA 94019-1945
Phone
(650) 532-3122
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Peggy Milne
Title
President
Phone
(650) 532-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

655 Miramontes St
Half Moon Bay, CA 94019-1945

Mailing address

655 Miramontes St
Half Moon Bay, CA 94019-1945
Phone (650) 532-3122

Other names 1

  • Home Helpers Healthcare 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.

Locations

655 Miramontes St
Half Moon Bay, CA 94019
Phone (650) 532-3122

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1932589165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MIRAMONTES ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191945",
            "telephone_number": "650-532-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MIRAMONTES ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191945",
            "telephone_number": "650-532-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BAY FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "MILNE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-532-3122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.