Everbloom Support Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERBLOOM SUPPORT SERVICES LLC

Practice address

6289 Tarklin St
Canal Winchester, OH 43110-8956

Phone

(614) 209-4165

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By 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

Benetta Vera Nyenpan, APRN,FNP-C

Title

Owner/Managing Member

Phone

(614) 209-4165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1710884929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6289 TARKLIN ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108956",
            "telephone_number": "614-209-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6289 TARKLIN ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108956",
            "telephone_number": "614-209-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "NYENPAN",
        "authorized_official_first_name": "BENETTA",
        "authorized_official_middle_name": "VERA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "614-209-4165",
        "authorized_official_credential": "APRN,FNP-C"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Eller, CNP
• Cheryl Ellison-Weaver, RN
• Emade Home Healthcare LLC
• Embassy Winchester, LLC
• Edith Gerstl Ermann, LPT
• Eye Physicians, LLC
• Stellar Fackler, PHARMD
• Michelle Lynn Fair
• Stephen Gilbert Fair
• Yolanda Cemora Fairfax, LPC

• In Home Supportive Care Agency in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.