Provider Demographics
NPI:1225736077
Name:FOREVER WAYS CARE
Entity Type:Organization
Organization Name:FOREVER WAYS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-456-9449
Mailing Address - Street 1:3175 SEDONA CT STE E
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-6561
Mailing Address - Country:US
Mailing Address - Phone:909-456-9449
Mailing Address - Fax:
Practice Address - Street 1:3175 SEDONA CT STE E
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-6561
Practice Address - Country:US
Practice Address - Phone:909-456-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD8844201OtherNON MEDICAL HOME CARE