Evershine Care Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERSHINE CARE ASSISTED LIVING

Practice address

1213 Juniper Ave
Las Cruces, NM 88001-2157

Phone

(575) 382-5973

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Nwaogu, PHARMD

Title

Administrator

Phone

(575) 652-4156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1669096715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 CALLE BELLA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127066",
            "telephone_number": "575-382-5973",
            "fax_number": "575-541-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 JUNIPER AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012157",
            "telephone_number": "575-382-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-652-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Patricia Evans, P.A.
• Tracie Evans, RN
• Christina M Evaro, M.A.
• Jerry Romero Evaro, LMFT
• Everlasting Assisted Living LLC
• Evershine Care LLC
• Evershine Care LLC
• Evershine Care LLC
• Evershine Care, LLC
• Michael Taylor Evett, PA-C

• Assisted Living Facility in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.