Evercare Home Health & Hospice, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2009-HHA-90252 Issued in UT

Legal business name

EVERCARE HOME HEALTH & HOSPICE, INC.

Practice address

10808 River Front Parkway
Suite 398
South Jordan, UT 84095-5761

Phone

(801) 984-8089

Fax

(801) 984-4320

NPI assigned

Feb 2, 2007

Last updated

Jul 14, 2009By 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

Lance J Squire

Title

President/Ceo

Phone

(801) 608-5493

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1487792339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 RIVER FRONT PARKWAY",
            "address_2": "SUITE 398",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-8089",
            "fax_number": "801-984-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 RIVER FRONT PARKWAY",
            "address_2": "SUITE 398",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-8089",
            "fax_number": "801-984-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HOME HEALTH & HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-608-5493"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2006-HHA-42584",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2009-HHA-90252",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2006-HOSPICE-67400",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2009-HOSPICE-90210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510500085001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "HOSPICE PROVIDER #",
            "identifier": "470950180001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470950180001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Lynn Erasmus
• Natasha Esprit
• David Adams Evans, DDS, MD
• Elizabeth Sebranek Evans, PHARMD
• Gloria Dawn Evans
• Brendan Ewell, LMFT
• Expert Wound LLC
• David Edwards Faerber, D.M.D.
• Grant Andreas Fairbanks, MD
• Families First Pediatric Dentistry

• Home Health Agency in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.