Evercare Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVERCARE BEHAVIORAL HEALTH LLC

Practice address

4928 Laurel Ave
Pennsauken, NJ 08109-1222

Phone

(856) 263-0752

NPI assigned

Jan 15, 2024

Last updated

Jun 21, 2024By 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

Uchenna Joseph EkeabuNPI 1467225888

Title

Pmhnp-BC

Phone

(856) 263-0752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uchenna Joseph Ekeabu, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pennsauken, NJ
  • NPI 1467225888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1912778333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 LAUREL AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091222",
            "telephone_number": "856-263-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 LAUREL AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091222",
            "telephone_number": "856-263-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "EKEABU",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "856-263-0752"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.