Provider Demographics
NPI:1457196842
Name:EVERCARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:EVERCARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-209-8947
Mailing Address - Street 1:245 BARKLEY PL W
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2006
Mailing Address - Country:US
Mailing Address - Phone:614-209-8947
Mailing Address - Fax:
Practice Address - Street 1:245 BARKLEY PL W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2006
Practice Address - Country:US
Practice Address - Phone:614-209-8947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care