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EVERGREEN HOSPICE CARE, INC.
NPI 1629270699
Hospice Care, Community Based in Cerritos, CA

Active since June 01, 2007CLIA 05D1028461 · Waiver
17215 STUDEBAKER RD, SUITE 100, CERRITOS, CA 90703(562) 865-9006(562) 865-9022 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Hospice Care, Inc. NPPES

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

EVERGREEN HOSPICE CARE, INC. (NPI 1629270699) is a healthcare organization registered as a hospice care, community based in Cerritos, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Lydia Y Ahn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629270699
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameEVERGREEN HOSPICE CARE, INC.
Location Address17215 STUDEBAKER RD, SUITE 100Cerritos, CA 90703-2548
Mailing Address17215 Studebaker Rd, Suite 100Cerritos, CA 90703-2548 · (562) 865-9006 · Fax (562) 865-9022
Phone(562) 865-9006
Fax(562) 865-9022
Organization SubpartNo
Authorized OfficialLydia Y AhnAdministrator · (562) 865-9006
Enumeration DateJune 1, 2007
Last NPPES UpdateApril 22, 2011
✔ NPI 1629270699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in CA · 550000319
17215 STUDEBAKER RD, Cerritos, CA 90703
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification551530CA
Medicaid1629270699CA

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 05D1028461

Evergreen Hospice Care Inc · Cerritos, CA
Active · expires Jul 22, 2028
CLIA Number05D1028461
Laboratory TypeHospice
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorSoumitra Sarkar MD
Laboratory Phone(562) 865-9006
Laboratory LocationEvergreen Hospice Care Inc17215 Studebaker Rd Ste 100, 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.

Hospice Care Quality CMS Care Compare 2

Quality measures, care settings and the Hospice Care Index for the 2 hospice facilities associated with this NPI, from CMS Care Compare.

Evergreen Hospice Care, Inc

Hospice · Cerritos, CA
Facility 1 of 2
OwnershipFor-Profit
CMS Certification Number551530
CMS RegionRegion 9
Medicare-Certified SinceMarch 6, 2008
Average Daily Census136patients per day on average
Location17215 Studebaker Road, Suite 100Cerritos, CA 90703 · Los Angeles County
Phone(562) 865-9006
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home99%
Assisted living facility0%
Nursing facility0%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
25%
Patients with dementia
31%
Patients with circulatory or heart disease
14%
Patients with respiratory disease
5%
Patients with stroke
9%
Patients with other conditions
5%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
254 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
254 patient stays
100%
Hospice and Palliative Care Pain Screening
254 patient stays
99.6%
Hospice and Palliative Care Pain Assessment
133 patient stays
95.5%
Hospice and Palliative Care Dyspnea Screening
254 patient stays
99.6%
Hospice and Palliative Care Dyspnea Treatment
161 patient stays
98.1%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
46 patient stays
100%
Hospice and Palliative Care Composite Process Measure
254 patient stays
95.7%
Hospice Visits in the Last Days of Life
407 patient stays
29.7%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 65
0.1%
Gaps in nursing visits
National percentile 36
43.9%
Early live discharges
National percentile 24
2.4%
Late live discharges
National percentile 80
51.2%
Burdensome transitions, Type 1
National percentile 39
4.9%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 76
$21,813
Nurse care minutes per routine home care days
National percentile 90
18 minutes
Skilled nursing minutes on weekends
National percentile 29
6.2%
Visits near death
National percentile 29
88.6%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Santa Rosa Hospice

Hospice · Cerritos, CA
Facility 2 of 2
OwnershipFor-Profit
CMS Certification NumberA11631
CMS RegionRegion 9
Medicare-Certified SinceSeptember 29, 2020
Location17215 Studebaker Rd. Suite 395Cerritos, CA 90703 · Los Angeles County
Phone(626) 239-8545

Quality Measures

Hospice and Palliative Care Treatment Preferences
44 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
44 patient stays
100%
Hospice and Palliative Care Pain Screening
44 patient stays
97.7%
Hospice and Palliative Care Pain Assessment
21 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
44 patient stays
100%
Hospice and Palliative Care Composite Process Measure
44 patient stays
97.7%
Hospice Visits in the Last Days of Life
35 patient stays
31.4%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
8/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 73
0.2%
Gaps in nursing visits
National percentile 11
21.6%
Early live discharges
National percentile 98
23.1%
Late live discharges
National percentile 68
46.2%
Burdensome transitions, Type 1
National percentile 56
7.7%
Burdensome transitions, Type 2
National percentile 100
15.4%
Per-beneficiary spending
National percentile 65
$19,326
Nurse care minutes per routine home care days
National percentile 84
16.4 minutes
Skilled nursing minutes on weekends
National percentile 88
14.5%
Visits near death
National percentile 86
97.8%
Percentiles compare this hospice with all hospices nationally, as published 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
EVERGREEN HOME HEALTH, INC.
Home Health
17215 STUDEBAKER RD, STE 270
CERRITOS, CA 90703
Los Angeles County (562) 860-9444
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

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 Hospice Care, Inc.'s NPI number?

The NPI number for Evergreen Hospice Care, Inc. is 1629270699. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Evergreen Hospice Care, Inc. located?

Evergreen Hospice Care, Inc. is located at 17215 Studebaker Rd Suite 100, Cerritos, CA 90703. The listed phone number is (562) 865-9006.

What is Evergreen Hospice Care, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Evergreen Hospice Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1028461) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Hospice Care, Inc. a Medicare-certified hospice?

Yes. 2 Medicare-certified hospice facilities are associated with this NPI. Details for each are in the Hospice Care Quality section above.

When was this NPI record last updated?

The NPPES record for Evergreen Hospice Care, Inc. was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.