Provider Demographics
NPI:1023791191
Name:EVERMOST HEALTH MANAGEMENT, INC.
Entity type:Organization
Organization Name:EVERMOST HEALTH MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAI LEE DALY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-350-3886
Mailing Address - Street 1:10530 LOWER AZUSA RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-1209
Mailing Address - Country:US
Mailing Address - Phone:626-350-3886
Mailing Address - Fax:626-444-3747
Practice Address - Street 1:10530 LOWER AZUSA RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1209
Practice Address - Country:US
Practice Address - Phone:626-350-3886
Practice Address - Fax:626-444-2747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVERMOST HEALTH MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-07
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251X00000XAgenciesSupports Brokerage
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care