Provider Demographics
NPI:1265031801
Name:EVERCARE LLC
Entity Type:Organization
Organization Name:EVERCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GILBERT RAINWATER DBA EVERCARE LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-248-1630
Mailing Address - Street 1:6987 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45338-9751
Mailing Address - Country:US
Mailing Address - Phone:937-248-1630
Mailing Address - Fax:
Practice Address - Street 1:6987 JORDAN RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:OH
Practice Address - Zip Code:45338-9751
Practice Address - Country:US
Practice Address - Phone:937-248-1630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-24
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)