Provider Demographics
NPI:1003143058
Name:EVEROSE HEALTHCARE, INC.
Entity type:Organization
Organization Name:EVEROSE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:DIEP
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-783-1511
Mailing Address - Street 1:10440 WESTOFFICE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5309
Mailing Address - Country:US
Mailing Address - Phone:713-783-1511
Mailing Address - Fax:713-783-1530
Practice Address - Street 1:10440 WESTOFFICE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5309
Practice Address - Country:US
Practice Address - Phone:713-783-1511
Practice Address - Fax:713-783-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health