Evergrace Home Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGRACE HOME SERVICES LLC

Practice address

5710 NW 54TH Way
Tamarac, FL 33319-2517

Phone

(917) 400-6357

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Mary Louina Louis

Title

Miss

Phone

(917) 400-6357

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1427945765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 NW 54TH WAY",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192517",
            "telephone_number": "917-400-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 NW 54TH WAY",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192517",
            "telephone_number": "917-400-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUINA",
        "authorized_official_title_or_position": "MISS",
        "authorized_official_telephone_number": "917-400-6357"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.