NPIMap

Organization Active NPI

Evercare Hospice, Inc.

Doing business as Evercare Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Plymouth, MN
National Provider Identifier
1053353151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EVERCARE HOSPICE, INC.
Doing business as
Evercare Hospice and Palliative Care
Practice address
12755 Highway 55
Plymouth, MN 55441-3837
Phone
(952) 936-5728
Fax
(952) 936-3960
NPI assigned
Jun 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Alyce Ford
Title
Vice President of Operations
Phone
(303) 267-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

12755 Highway 55
Plymouth, MN 55441-3837

Mailing address

9900 Bren Rd E
Mn008-B220
Minnetonka, MN 55343-9664
Phone (952) 936-5728

Other names 1

  • Evercare Hospice and Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evercare Hospice Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9900 Bren Rd E
#8B220
Minnetonka, MN 55343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053353151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MN008-B220",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "952-936-5728",
            "fax_number": "952-936-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 HIGHWAY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413837",
            "telephone_number": "952-936-5728",
            "fax_number": "952-936-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ALYCE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "303-267-3725"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.