Provider Demographics
NPI:1457910077
Name:FOREVERCARE
Entity Type:Organization
Organization Name:FOREVERCARE
Other - Org Name:FOREVERCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STUCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-443-0708
Mailing Address - Street 1:350 N AURORA ST STE 109
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3698
Mailing Address - Country:US
Mailing Address - Phone:410-443-0708
Mailing Address - Fax:410-304-7760
Practice Address - Street 1:350 N AURORA ST STE 109
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3698
Practice Address - Country:US
Practice Address - Phone:410-443-0708
Practice Address - Fax:410-304-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care