Evernorth Direct Health LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Sunnyvale, TX
NPI 1134552508 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1134552508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- AP121686 (TX)
- Legal business name
- EVERNORTH DIRECT HEALTH LLC
- Practice address
- 199 Planters Rd
Sunnyvale, TX 75182-9601 - Phone
- (214) 309-3438
- NPI assigned
- Aug 20, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Evernorth Direct Health LLC
- Part of
- Tri - State Medical Group Inc
Locations
199 Planters Rd
Sunnyvale, TX 75182
Phone (214) 309-3438
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | AP121686 | TX | Yes |
Addresses
Primary practice location
199 Planters Rd
Sunnyvale, TX 75182-9601
Mailing address
9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701
Other names
- Mohawk -Tx- Dal Tile Sunnyvale
Other providers in Sunnyvale, TX
- Thien Duc Dinh
- Dr T Patel DMD PLLC
- Susan Carol Duke
- Empowering Light LLC
- Evernorth Direct Health LLC
- Expertcare Home Health Agency LLC
- Explore Therapy Services
- Faglo Home Health Agency Inc
- First Baptist Church Sunnyvale
- First Response EMS
All providers in Sunnyvale, TX · Non-Pharmacy Dispensing Site in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.