Evercare LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B089077 Issued in KS

Legal business name

EVERCARE LLC

Doing business as

Foundation House

Practice address

16795 Say Rd
Wamego, KS 66547-9742

Phone

(785) 477-5321

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By 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

Kellie L Everson, ADULT CARE DIRECTOR

Title

Director

Phone

(785) 477-5321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foundation House Doing business as

Locations

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1871993949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NE SEWARD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666161651",
            "telephone_number": "785-286-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16795 SAY RD",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479742",
            "telephone_number": "785-477-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-477-5321",
        "authorized_official_credential": "ADULT CARE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B089077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF KANSAS LICENSE TO OPERATE CARE HOME",
            "identifier": "B089077",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy A Douglas, APRN-BC
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• Laura Marie Estes, CD(DONA)
• Marcy L Evans, PA
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• Jerry Wayne Fox, D.C.
• Mary Elizabeth Fund, DNP, NP-C
• Gail H. McPeak
• Christopher T Grennan, MD

• Adult Care Home Facility in Wamego, KS
• Providers in Wamego, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.