EVERGREEN MEDICAL AND NURSING INC
NPI 1629862701
Nursing Home Administrator in Fremont, CA
About Evergreen Medical And Nursing Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN MEDICAL AND NURSING INC (NPI 1629862701) is a healthcare organization registered as a nursing home administrator in Fremont, California and active in the NPI registry since April 2025. The organization lists Gloria E Follosco, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evergreen Medical And Nursing Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Evergreen Medical And Nursing Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medical And Nursing Inc's NPI number?
The NPI number for Evergreen Medical And Nursing Inc is 1629862701. It was assigned to this organization in the NPPES registry on April 5, 2025.
Where is Evergreen Medical And Nursing Inc located?
Evergreen Medical And Nursing Inc is located at 4471 Gina St, Fremont, CA 94538. The listed phone number is (408) 887-0534.
What is Evergreen Medical And Nursing Inc's specialty?
The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.
Is Evergreen Medical And Nursing Inc enrolled in Medicare?
Yes. Evergreen Medical And Nursing Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Medical And Nursing Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Evergreen Medical And Nursing Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evergreen Medical And Nursing Inc was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Evergreen Medical And Nursing Inc · NPI 1629862701
Nursing Home Administrator organization in Fremont, California. Organization record, active in the CMS NPPES registry since April 5, 2025.
## Identity
- **NPI:** 1629862701 (Entity type: Organization)
- **Enumerated:** April 5, 2025
- **Primary specialty:** Nursing Home Administrator · taxonomy 376G00000X
- **Organization subpart:** No
- **Authorized official:** Gloria Follosco, OWNER
## Practice location
- **Address:** 4471 GINA ST, Fremont, CA 94538-2857
- **Phone:** (408) 887-0534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1629862701) · Data from the CMS NPPES public registry.