NPIMap

Organization Active NPI

Evershine Care LLC

  • Mental Illness Intermediate Care Facility
  • Las Cruces, NM
National Provider Identifier
1902393564
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
EVERSHINE CARE LLC
Practice address
4681 Joseph H LN
Las Cruces, NM 88012-9599
Phone
(575) 382-5973
NPI assigned
Apr 19, 2018
Organization subpart
Yes
Parent organization
EVERSHINE CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Dr. Ivan Nwaogu, PHARMD
Title
Administrator
Phone
(443) 854-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

4681 Joseph H LN
Las Cruces, NM 88012-9599

Mailing address

4844 Calle Bella Ave
Las Cruces, NM 88012-7066
Phone (575) 382-5973

Other names 1

  • Evershine Care LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 32G062

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Evershine Care -Joseph H Lane
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 6, 2019
Last certification
Jul 23, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
4681 Joseph H Lane
Las Cruces, NM 88012

National Provider Directory

National Provider Directory
Tax ID family
Evershine Care LLC3 organizations share this tax ID, including this one
Part of
Evershine Care LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1902393564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 CALLE BELLA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127066",
            "telephone_number": "575-382-5973",
            "fax_number": "575-541-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 JOSEPH H LN",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880129599",
            "telephone_number": "575-382-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERSHINE CARE LLC",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-854-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evershine Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evershine Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.