Provider Demographics
NPI:1811702541
Name:EVERMORE HOSPICE INC
Entity type:Organization
Organization Name:EVERMORE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-331-4843
Mailing Address - Street 1:265 E RIVER PARK CIRCLE STE 100 OFFICE 149
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1575
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:265 E RIVER PARK CIRCLE STE 100 OFFICE 149
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1575
Practice Address - Country:US
Practice Address - Phone:949-331-4843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based