Organization Active NPI

Forevercare

  • In Home Supportive Care Agency
  • Easton, MD
National Provider Identifier
1457910077
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOREVERCARE
Doing business as
ForeverCare
Practice address
350 N Aurora St Ste 109
Easton, MD 21601-3698
Phone
(410) 443-0708
Fax
(410) 304-7760
NPI assigned
Jun 7, 2019
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Robert Stuckey
Title
Owner
Phone
(410) 443-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

350 N Aurora St Ste 109
Easton, MD 21601-3698

Mailing address

350 N Aurora St Ste 109
Easton, MD 21601-3698
Phone (410) 443-0708

Other names 1

  • ForeverCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@forevercare1st.com

National Provider Directory

National Provider Directory
Tax ID family
Forevercare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1457910077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N AURORA ST STE 109",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013698",
            "telephone_number": "410-443-0708",
            "fax_number": "410-304-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N AURORA ST STE 109",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013698",
            "telephone_number": "410-443-0708",
            "fax_number": "410-304-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-443-0708"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@forevercare1st.com",
            "affiliation": "N",
            "address_1": "350 N Aurora St Ste 109",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216013698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ForeverCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ForeverCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.