Provider Demographics
NPI:1942490008
Name:EVEREST HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:EVEREST HOME HEALTH CARE INC
Other - Org Name:EVEREST HOME HEALTH CARE INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KUSUMAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-632-2132
Mailing Address - Street 1:1643 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-4711
Mailing Address - Country:US
Mailing Address - Phone:972-790-9730
Mailing Address - Fax:972-790-9732
Practice Address - Street 1:1643 SKYVIEW DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-4711
Practice Address - Country:US
Practice Address - Phone:972-790-9730
Practice Address - Fax:972-790-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health