EVERGREEN MEDICAL AND NURSING INC
NPI 1629862701
Nursing Home Administrator in Fremont, CA

Active since April 05, 2025
4471 GINA ST, FREMONT, CA 94538(408) 887-0534 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2025, Apr 5, 2025 (2 updates tracked since 2025).

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

NPI1629862701
Entity TypeOrganization
Primary Taxonomy376G00000X
Legal Business NameEVERGREEN MEDICAL AND NURSING INC
Location Address4471 GINA STFremont, CA 94538-2857
Mailing Address4471 Gina StFremont, CA 94538-2857 · (408) 887-0534
Organization SubpartNo
Authorized OfficialGloria E FolloscoOwner · (408) 887-0534
Enumeration DateApril 5, 2025
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1629862701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

4471 GINA ST, Fremont, CA 94538

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
4471 GINA ST
FREMONT, CA 94538
Nursing Home Administrator
4471 GINA ST
FREMONT, CA 94538

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.

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 with the weekly NPPES data releases published by CMS.