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EVERGREEN HOME HEALTH, INC.
NPI 1104821537
Home Health in Cerritos, CA

Active since June 13, 2005CLIA 05D0999277 · Waiver
2/5
Patient Care Rating
17215 STUDEBAKER RD, STE 270, CERRITOS, CA 90703(562) 860-9444(562) 860-8334 Get Directions Write a Review

NPPES record last updated: October 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Home Health, Inc. NPPES

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

EVERGREEN HOME HEALTH, INC. (NPI 1104821537) is a healthcare organization registered as a home health in Cerritos, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Lydia Y Ahn, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1104821537
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEVERGREEN HOME HEALTH, INC.
Location Address17215 STUDEBAKER RD, STE 270Cerritos, CA 90703-2522
Mailing Address17215 Studebaker Rd, Ste 270Cerritos, CA 90703-2522 · (562) 860-9444 · Fax (562) 860-8334
Phone(562) 860-9444
Fax(562) 860-8334
Organization SubpartNo
Authorized OfficialLydia Y AhnAdministrator/ceo · (562) 860-9444
Enumeration DateJune 13, 2005
Last NPPES UpdateOctober 8, 2007
✔ NPI 1104821537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
17215 STUDEBAKER RD, Cerritos, CA 90703
Open in Google Maps ↗

Other Identifiers 2

MedicaidHHA08132FCA
Medicare ID-Type Unspecified05-8132CA · Home Health Agency

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0999277

Evergreen Home Health Inc · Cerritos, CA
Active · expires May 7, 2028
CLIA Number05D0999277
Laboratory TypeHome Health Agency
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorSoumitra Sarkar MD
Laboratory Phone(562) 860-9444
Laboratory LocationEvergreen Home Health Inc17215 Studebaker Rd Ste 270, Cerritos, CA 90703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Evergreen Home Health (CMS certification number 058132), from CMS Care Compare.

Evergreen Home Health

Home health agency · Cerritos, CA
2.5/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number058132
Medicare-Certified SinceSeptember 13, 2002
Phone(562) 860-9444
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner
88.8%
Patients who got better at walking or moving around
78.5%
Patients who got better at getting in and out of bed
79.3%
Patients who got better at bathing
78.5%
Patients whose breathing improved
92.8%
Patients who got better at taking their drugs correctly by mouth
77.4%
Patients checked for a flu shot for the current season
73.5%
Physician-recommended actions on medication issues completed on time
85.5%
Patients with a functional assessment and care plan at admission and discharge
82.5%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0.5%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
180 of 241 patient episodes · observed rate 74.69%
83.21% Better Than National Rate
Potentially preventable hospital readmissions after discharge
127 patient stays · observed rate 2.36%
Lower rates are better for this measure.
3.65% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 538 episodes
1.02
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SANDRA KAISER KAUMAYA MFT
Marriage & Family Therapist
17215 STUDEBAKER RD, 180
CERRITOS, CA 90703
Los Angeles County (562) 841-0348
DR. CHRISTINE LOUISE DESANDRE PSY.D.
Psychologist (Clinical)
17215 STUDEBAKER RD, SUITE 110
CERRITOS, CA 90703
Los Angeles County (562) 860-2210
DENNIS D. STEELE, PHD A PSYCHOLOGICAL CORPORATION
Psychologist
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
DR. ALAN D. VU M.D.
Counselor (Mental Health)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
MS. KYM STONE L.C.S.W
Social Worker (Clinical)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
JOHNNY EDROZO M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
EVERGREEN CARE, INC.
In Home Supportive Care
17215 STUDEBAKER RD, SUITE 250
CERRITOS, CA 90703
Los Angeles County (562) 402-4299
DR. MICHAEL FRANC PSYD
Psychologist (Clinical)
17215 STUDEBAKER RD, STE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307

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 Health, Inc.'s NPI number?

The NPI number for Evergreen Home Health, Inc. is 1104821537. It was assigned to this organization in the NPPES registry on June 13, 2005.

Where is Evergreen Home Health, Inc. located?

Evergreen Home Health, Inc. is located at 17215 Studebaker Rd Ste 270, Cerritos, CA 90703. The listed phone number is (562) 860-9444.

What is Evergreen Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Evergreen Home Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999277) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Home Health, Inc. a Medicare-certified home health agency?

Yes. Evergreen Home Health is a Medicare-certified home health agency, certified since September 13, 2002.

What quality rating does Evergreen Home Health, Inc. have?

CMS rates Evergreen Home Health 2.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Evergreen Home Health, Inc. was last updated on October 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.