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Evergreen Home Health, Inc.

Home Health Agency in Cerritos, CA · enumerated 2005 · authorized official Lydia Ahn, Administrator/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104821537

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Home Health, Inc.
Practice address 17215 Studebaker Rd, Ste 270, Cerritos, CA, 90703
Fax (562) 860-8334
Enumeration date Jun 13, 2005
Last updated in NPPES Oct 8, 2007

Taxonomy & classification

251E00000X Home Health Agency Agencies Primary

Authorized official

Name Lydia Ahn
Title Administrator/Ceo

Other identifiers

Identifier Type State Issuer
HHA08132F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Evergreen Home Health, Inc.?
NPPES lists Lydia Ahn (Administrator/Ceo) as the authorized official for this organization.
What is the NPI number for Evergreen Home Health, Inc.?
The NPI for Evergreen Home Health, Inc. is 1104821537, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-08.