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EVERGREEN HOME CARE & HOSPICE INC
NPI 1659702389
Hospice Care, Community Based in Los Angeles, CA

Active since December 05, 2013CLIA 05D2132753 · Waiver
3756 SANTA ROSALIA DR STE 520B, LOS ANGELES, CA 90008(323) 293-7072(323) 293-7123 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Home Care & Hospice Inc NPPES

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

EVERGREEN HOME CARE & HOSPICE INC (NPI 1659702389) is a healthcare organization registered as a hospice care, community based in Los Angeles, California and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Sharon Selico, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659702389
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameEVERGREEN HOME CARE & HOSPICE INC
Location Address3756 SANTA ROSALIA DR STE 520BLos Angeles, CA 90008-3656
Mailing Address3756 Santa Rosalia Dr Ste 520bLos Angeles, CA 90008-3656 · (323) 293-7072 · Fax (323) 293-7123
Phone(323) 293-7072
Fax(323) 293-7123
Organization SubpartNo
Authorized OfficialSharon SelicoAdministrator · (323) 293-7072
Enumeration DateDecember 5, 2013
✔ NPI 1659702389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
3756 SANTA ROSALIA DR STE 520B, Los Angeles, CA 90008
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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 05D2132753

Evergreen Homecare & Hospice Inc. · Los Angeles, CA
Active · expires Jun 26, 2027
CLIA Number05D2132753
Laboratory TypeHospice
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMyron Hall, MD
Laboratory Phone(323) 293-7072
Laboratory LocationEvergreen Homecare & Hospice Inc.3756 Santa Rosalia Drive,suite 520B, Los Angeles, CA 90008
CLIA data matches this NPI record on: Address 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 Home Care & Hospice, Inc

Hospice · Los Angeles, CA
Facility 1 of 2
OwnershipFor-Profit
CMS Certification NumberA01681
CMS RegionRegion 9
Medicare-Certified SinceSeptember 13, 2019
Location3756 Santa Rosalia Drive, Suite 520BLos Angeles, CA 90008 · Los Angeles County
Phone(323) 293-7072

A C Hospice, Inc

Hospice · Los Angeles, CA
Facility 2 of 2
OwnershipFor-Profit
CMS Certification Number551579
CMS RegionRegion 9
Medicare-Certified SinceOctober 16, 2009
Location3756 Santa Rosalia Drive, Suite 520CLos Angeles, CA 90008 · Los Angeles County
Phone(323) 293-7072

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 & Hospice Inc's NPI number?

The NPI number for Evergreen Home Care & Hospice Inc is 1659702389. It was assigned to this organization in the NPPES registry on December 5, 2013.

Where is Evergreen Home Care & Hospice Inc located?

Evergreen Home Care & Hospice Inc is located at 3756 Santa Rosalia Dr Ste 520B, Los Angeles, CA 90008. The listed phone number is (323) 293-7072.

What is Evergreen Home Care & Hospice Inc's specialty?

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

Does Evergreen Home Care & Hospice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2132753) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Home Care & Hospice 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 Home Care & Hospice Inc was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.