Evermore Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERMORE HEALTHCARE AGENCY

Practice address

12554 W Desert Rose Rd
Avondale, AZ 85392-7013

Phone

(623) 204-8506

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Julius Daniely

Title

Ceo

Phone

(623) 204-8506

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1558115386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 W DESERT ROSE RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927013",
            "telephone_number": "623-204-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 W DESERT ROSE RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927013",
            "telephone_number": "623-204-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERMORE HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "DANIELY",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-204-8506"
    },
    "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite 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 Apr 17, 2024; 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.