Provider Demographics
NPI:1003476557
Name:JEVERDME LLC
Entity Type:Organization
Organization Name:JEVERDME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:VENEICE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-589-2249
Mailing Address - Street 1:558 LOGAN PL APT 10
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3332
Mailing Address - Country:US
Mailing Address - Phone:757-589-2249
Mailing Address - Fax:
Practice Address - Street 1:558 LOGAN PL APT 10
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3332
Practice Address - Country:US
Practice Address - Phone:757-589-2249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies