MEDICARE: EVE'S HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC3373	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124164363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVE'S HOME CARE LLC

Provider Business Mailing Address
First Line	:	14916 NORTHGREEN DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-2628
Country	:	US
Telephone Number	:	704-875-6454
Fax Number	:	704-875-6445

Provider Business Practice Location Address
First Line	:	126 MINE LAKE CT
Second Line	:	SUITE 100
City	:	RALEIGH
State	:	NC
Zip	:	27615-6417
Country	:	US
Telephone Number	:	919-741-4351
Fax Number	:	919-741-4357

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	EVA L CLARK
Credential	:
Telephone Number	:	704-875-6454

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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