# EVERGREEN HEALTH CARE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235647348
- **Authorized official:** JIN CHOI RN (OWNER)
- **Authorized official phone:** (571) 505-1119

## Contact information

- **Practice address:** 4115 ANNANDALE ROAD, SUITE 208, ANNANDALE, VA 22003-2200
- **Practice address phone:** (703) 534-5049
- **Practice address fax:** (888) 588-3957
- **Mailing address:** 8868 WINDING HOLLOW WAY, SPRINGFIELD, VA 22152-1449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 251E00000X | Home Health Agency | HCO-1805 | VA | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 342000000X | Transportation Network Company | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 344600000X | Taxi | — | NULL | — |
| 347B00000X | Bus | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 06/25/2026