Everlasting Arms Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERLASTING ARMS GROUP LLC

Practice address

43644 Arborview LN
Van Buren TWP, MI 48111-3347

Phone

(855) 929-4368

Fax

(734) 796-2263

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Abraham O'Dare

Title

Director of Operations

Phone

(312) 388-2318

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Everlasting Arms Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Everlasting Arms Group LLC

  • Non-emergency Medical Transport (VAN)
  • Van Buren TWP, MI
  • NPI 1437711926
  NPD tax ID

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1770136632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43644 ARBORVIEW LN",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113347",
            "telephone_number": "855-929-4368",
            "fax_number": "734-796-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43644 ARBORVIEW LN",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113347",
            "telephone_number": "855-929-4368",
            "fax_number": "734-796-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING ARMS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "O'DARE",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "312-388-2318"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGMA",
            "identifier": "CV0154164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Dotstry
• Derek Drumsta
• Christopher Ron Edwards, CPCT
• Tiere Emerson
• Everlasting Arms Group LLC
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• Latoya Shawnte Ferrell
• Fonag, Inc.
• Anthony Daryl Foster Sr.
• Dionna Franklin

• Home Health Agency in Van Buren TWP, MI
• Providers in Van Buren TWP, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.