Provider Demographics
NPI:1710157987
Name:EVERCARE HOSPICE, INC.
Entity Type:Organization
Organization Name:EVERCARE HOSPICE, INC.
Other - Org Name:EVERCARE HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:O
Authorized Official - Last Name:ENDERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-221-0793
Mailing Address - Street 1:680 BLAIR MILL RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2223
Mailing Address - Country:US
Mailing Address - Phone:215-900-2824
Mailing Address - Fax:215-902-8809
Practice Address - Street 1:2300 CLAYTON RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2100
Practice Address - Country:US
Practice Address - Phone:888-437-4673
Practice Address - Fax:925-602-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based