EVERGREEN HOME CARE & HOSPICE INC NPI 1659702389

NPI Information

NPI: 1659702389
Provider Name: EVERGREEN HOME CARE & HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2132753

Address:
3756 SANTA ROSALIA DR STE 520B
LOS ANGELES, CA
ZIP 90008
Phone: (323) 293-7072
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EVERGREEN HOME CARE & HOSPICE INC is a hospice care community based in Los Angeles, CA. EVERGREEN HOME CARE & HOSPICE INC NPI is 1659702389. The provider is registered as an organization entity type.

The provider's business location address is:

3756 SANTA ROSALIA DR STE 520B
LOS ANGELES, CA
ZIP 90008-656
Phone: (323) 293-7072
Fax: (323) 293-7123

The provider's authorized official is Sharon Selico .
The authorized official title is Administrator and has the following contact phone number (323) 293-7072.

The CLIA number assigned to this NPI record is 05D2132753 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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