Evercare Home Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERCARE HOME SERVICES, LLC

Practice address

6730 5TH St N
Brooklyn Center, MN 55430-1603

Phone

(612) 600-9696

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By 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

Moses Musa Dukuly, BSN, RN, BBA

Title

Owner

Phone

(612) 600-9696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1497488464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 5TH ST N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301603",
            "telephone_number": "612-600-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 5TH ST N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301603",
            "telephone_number": "612-600-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "DUKULY",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "MUSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-600-9696",
        "authorized_official_credential": "BSN, RN, BBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.