Provider Demographics
NPI:1295000628
Name:EVERCARE HOSPICE, INC.
Entity Type:Organization
Organization Name:EVERCARE HOSPICE, INC.
Other - Org Name:EVERCARE HOSPICE AND PALLIATIVE CARE INPATIENT UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ALYCE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-714-2377
Mailing Address - Street 1:9900 BREN RD E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9664
Mailing Address - Country:US
Mailing Address - Phone:303-714-2377
Mailing Address - Fax:303-714-2396
Practice Address - Street 1:2140 POGUE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-3234
Practice Address - Country:US
Practice Address - Phone:513-682-4040
Practice Address - Fax:888-810-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0158HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based