Organization Active NPI

Evercare Health Services LLC

Doing business as NA

  • Adult Care Home Facility
  • Madison, WI
National Provider Identifier
1730934696
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
EVERCARE HEALTH SERVICES LLC
Doing business as
NA
Practice address
1438 Bellflower LN
Madison, WI 53719-4539
Phone
(614) 815-9001
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Maryan Dualle
Title
Owner
Phone
(161) 481-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1438 Bellflower LN
Madison, WI 53719-4539

Mailing address

1438 Bellflower LN
Madison, WI 53719-4539
Phone (614) 815-9001

Other names 1

  • NA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1730934696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 BELLFLOWER LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194539",
            "telephone_number": "614-815-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 BELLFLOWER LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194539",
            "telephone_number": "614-815-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "DUALLE",
        "authorized_official_first_name": "MARYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "161-481-5900"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.