Everlasting Family Home Care Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12890 Issued in FL

Legal business name

EVERLASTING FAMILY HOME CARE SERVICES LLC

Doing business as

Everlasting Family Home Care Services

Practice address

2722 Oklahoma St
West Palm Beach, FL 33406-4212

Phone

(561) 907-6956

Fax

(561) 513-9365

NPI assigned

Jan 27, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Duvenson Jean Denis

Title

Provider

Phone

(561) 907-6056

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Everlasting Family Home Care Services Doing business as

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1346607959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 OKLAHOMA ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064212",
            "telephone_number": "561-907-6956",
            "fax_number": "561-513-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 OKLAHOMA ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064212",
            "telephone_number": "561-907-6956",
            "fax_number": "561-513-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING FAMILY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "JEAN DENIS",
        "authorized_official_first_name": "DUVENSON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-907-6056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016168600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everlasting Family Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.