Provider Demographics
NPI:1235562745
Name:4EVERREADY HOME CARE
Entity Type:Organization
Organization Name:4EVERREADY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADDIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:KEATON-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-610-5500
Mailing Address - Street 1:323 SALEM AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-5818
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3535 SALEM AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406
Practice Address - Country:US
Practice Address - Phone:937-610-5500
Practice Address - Fax:937-610-0330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:P3 SECURE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-20
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty