Organization Active NPI

Evercare Healthcare, Inc.

  • Home Health Agency
  • Mission, TX
National Provider Identifier
1073284733
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERCARE HEALTHCARE, INC.
Practice address
1713 W Griffin Pkwy Ste B
Mission, TX 78572-7306
Phone
(956) 600-8000
Fax
(866) 509-0326
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Cesar Duque
Title
Ceo
Phone
(956) 342-4375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1713 W Griffin Pkwy Ste B
Mission, TX 78572-7306

Mailing address

1713 W Griffin Pkwy Ste B
Mission, TX 78572-7306
Phone (956) 212-6198

Other identifiers 1

IdentifierTypeStateIssuer
00000MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CONNECTURL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714001509 TX Part A Provider - Home Health Agency 4880075357 Practice locations: Mission, TX

Home health agency certification: CCN 748131

Legal name
EVERCARE HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 2024
Last certification
Oct 11, 2024
Organization structure
CorporationProprietary
Incorporated
Sep 30, 2021 in TX
Enrollment address
1713 W Griffin Pkwy
Ste B
Mission, TX 78572-7306

Care Compare: Home health agency

Medicare Care Compare
Listed as
Evercare Healthcare, Inc.CCN 748131 · All quality measures
Ownership
-
Certified
Oct 24, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2245207Evercare Healthcare Inc1713 W Griffin Parkway Ste B, Mission, TX 78572Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cesar Duque Individual 5% Or Greater Direct Ownership InterestAdministrator Sep 30, 2021 100%
Operational/Managerial ControlAlternate Administrator Sep 30, 2021

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1073284733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W GRIFFIN PKWY STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727306",
            "telephone_number": "956-212-6198",
            "fax_number": "956-391-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W GRIFFIN PKWY STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727306",
            "telephone_number": "956-600-8000",
            "fax_number": "866-509-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-342-4375"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "1713 W Griffin Pkwy Ste B",
            "city": "Mission",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785727306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.