Evergrace Comfort Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERGRACE COMFORT CARE LLC

Practice address

6206 8TH St
Lubbock, TX 79416-4126

Phone

(806) 777-8810

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By 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

Karen McKibben

Title

Owner

Phone

(956) 589-0155

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1831872027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 QUINCY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162178",
            "telephone_number": "806-777-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 8TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164126",
            "telephone_number": "806-777-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "MCKIBBEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-589-0155"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nicole Evans, LMSW
• Larry W Evans, DO
• Samantha Jane Evans, BEHAVIOR ANALYST
• Tiffany Evans, M.S., CCC-SLP
• Joseph Dylan Everett, D.D.S.
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• Exceptional H C Lubbock LLC

• In Home Supportive Care Agency in Lubbock, TX
• Providers in Lubbock, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.