MEDICARE: EVERKIND, 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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1528999422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERKIND, LLC

Provider Business Mailing Address
First Line	:	7808 W COLLEGE DR
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1027
Country	:	US
Telephone Number	:	773-449-0859
Fax Number	:

Provider Business Practice Location Address
First Line	:	7808 W COLLEGE DR
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1027
Country	:	US
Telephone Number	:	773-449-0859
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TINESHA D JOHNSON
Credential	:	JOHNSON
Telephone Number	:	773-449-0859

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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