NPIMap

Organization Active NPI

Evercare Inc.

  • Clinic/Center
  • Savage, MN
National Provider Identifier
1629893359
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVERCARE INC.
Practice address
13944 Edgewood Ave Unit 212
Savage, MN 55378-1233
Phone
(952) 688-9365
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Idris Ahmed AbdulleNPI 1962387787
Title
Owner
Phone
(952) 688-9365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

13944 Edgewood Ave Unit 212
Savage, MN 55378-1233

Mailing address

13944 Edgewood Ave Unit 212
Savage, MN 55378-1233
Phone (952) 688-9365

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1629893359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13944 EDGEWOOD AVE UNIT 212",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781233",
            "telephone_number": "952-688-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 EDGEWOOD AVE UNIT 212",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781233",
            "telephone_number": "952-688-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-688-9365"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.