Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERGREEN HOME CARE LLC
NPI 1073216826
In Home Supportive Care in Stockton, CA

Q: What is Evergreen Home Care LLC's NPI number?

The NPI number for Evergreen Home Care LLC is 1073216826. It was assigned to this organization in the NPPES registry on March 22, 2023.

Q: What is Evergreen Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 22, 2023

10018 BALTISAN LN, STOCKTON, CA 95219(510) 557-9819 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 21, 2026, Mar 22, 2023 (2 updates tracked since 2023).

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About Evergreen Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN HOME CARE LLC (NPI 1073216826) is a healthcare organization registered as an in home supportive care in Stockton, California and active in the NPI registry since March 2023. The organization lists Shiva Lal, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1073216826

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameEVERGREEN HOME CARE LLC

Location Address10018 BALTISAN LNStockton, CA 95219-7022

Mailing Address10940 Trinity Pkwy Ste C340Stockton, CA 95219-7296 · (510) 557-9819

Phone(510) 557-9819

Organization SubpartNo

Authorized OfficialShiva LalManaging Partner · (510) 557-9819

Enumeration DateMarch 22, 2023

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1073216826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

10018 BALTISAN LN, Stockton, CA 95219

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Home Care LLC's NPI number?

The NPI number for Evergreen Home Care LLC is 1073216826. It was assigned to this organization in the NPPES registry on March 22, 2023.

Where is Evergreen Home Care LLC located?

Evergreen Home Care LLC is located at 10018 Baltisan Ln, Stockton, CA 95219. The listed phone number is (510) 557-9819.

What is Evergreen Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Home Care LLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.