# EVERGREEN VALLEY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1447025614
- **Authorized official:** CORY TRAN DPT (OWNER, PRESIDENT)
- **Authorized official phone:** (408) 416-3030

## Contact information

- **Practice address:** 325 S 1ST ST \# 207, SAN JOSE, CA 95113-2835
- **Practice address phone:** (408) 416-3030
- **Practice address fax:** (408) 834-7618
- **Mailing address:** 325 S 1ST ST \# 200, SAN JOSE, CA 95113-2835
- **Mailing address phone:** (408) 416-3030
- **Mailing address fax:** (408) 834-7618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2023
- **Last updated:** 12/18/2023