Organization
EVERGREEN HEALTH CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN CHOI RN (OWNER)
(571) 505-1119
Entity
Organization
Contact information
Practice address
4115 ANNANDALE ROAD, SUITE 208, ANNANDALE, VA 22003-2200
(703) 534-5049
(888) 588-3957
Mailing address
8868 WINDING HOLLOW WAY, SPRINGFIELD, VA 22152-1449
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
251E00000X
Home Health Agency
Primary
HCO-1805
VA
251G00000X
Community Based Hospice Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/11/2018
Last updated
04/17/2023
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