NPIMap

Organization Active NPI

Evercare

  • Nursing Facility/Intermediate Care Facility
  • Elkridge, MD
National Provider Identifier
1790842284
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
R127624 Issued in MD
Legal business name
EVERCARE
Practice address
6085 Marshalee Dr
Suite 110
Elkridge, MD 21075-6023
Phone
(443) 691-2440
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Kristy Duffey, CRNP
Title
Directior of Clinical Services
Phone
(443) 506-4361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X R127624 MD Primary

Addresses

Primary practice location

6085 Marshalee Dr
Suite 110
Elkridge, MD 21075-6023

Mailing address

34 Cody Ave
Baltimore, MD 21234-1376
Phone (410) 529-2960

National Provider Directory

National Provider Directory

Locations

6085 Marshalee Dr
Ste 110
Elkridge, MD 21075
Phone (410) 379-3400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1790842284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CODY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212341376",
            "telephone_number": "410-529-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 MARSHALEE DR",
            "address_2": "SUITE 110",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756023",
            "telephone_number": "443-691-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DUFFEY",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTIOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "443-506-4361",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "R127624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.