Provider Demographics
NPI:1083146831
Name:EVEREST HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:EVEREST HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-812-2185
Mailing Address - Street 1:3317 N 109TH PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2908
Mailing Address - Country:US
Mailing Address - Phone:402-614-1099
Mailing Address - Fax:402-614-1599
Practice Address - Street 1:3317 N 109TH PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2908
Practice Address - Country:US
Practice Address - Phone:402-812-2185
Practice Address - Fax:402-614-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care