Evergreen Hospice Care, Inc.

LBN: Evergreen Hospice Care, Inc.
Evergreen Hospice Care, Inc. is an health care organization with primary practice located at 17215 Studebaker Rd Suite 100, Cerritos CA 90703-2548. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Evergreen Hospice Care, Inc. can be contacted via phone (562) 865-9006, or through Ahn, Lydia Y via phone (562) 865-9006.

Contact Information

Primary practice address
17215 Studebaker Rd Suite 100 Cerritos CA 90703-2548
Fax: (562) 865-9022
Website:
Authorized official contact:
Name: Ahn, Lydia Y RN, PHN

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 550000319 California

Profile Details

NPI number 1629270699
LBN Legal business name Evergreen Hospice Care, Inc.
DBA Doing business as
Authorized official Ahn, Lydia Y RN, PHN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Apr 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629270699 NPPES
California MEDICAID 1629270699

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