Active NPI
Evergrace Home Care LLC
- Home Health Agency
- Port St Lucie, FL
National Provider Identifier
1437075082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EVERGRACE HOME CARE LLC
- Practice address
- 10450 SW Waterway LN
Port St Lucie, FL 34987-2494 - Phone
- (772) 249-1634
- NPI assigned
- Jun 27, 2026
- Last updated
- Jun 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Joseph Ortega, DMD
- Title
- Administrator
- Phone
- (689) 250-7795
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
10450 SW Waterway LN
Port St Lucie, FL 34987-2494
Mailing address
10450 SW Waterway LN
Port St Lucie, FL 34987-2494
Phone (772) 249-1634
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782518400000",
"number": "1437075082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 SW WATERWAY LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872494",
"telephone_number": "772-249-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 SW WATERWAY LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872494",
"telephone_number": "772-249-1634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGRACE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-27",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A",
"authorized_official_last_name": "JOSEPH ORTEGA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "689-250-7795",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.