Healthcare Provider Details

I. General information

NPI: 1720914500
Provider Name (Legal Business Name): EVERWELL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 N 91ST AVE
GLENDALE AZ
85305-0025
US

IV. Provider business mailing address

7200 N 91ST AVE
GLENDALE AZ
85305-0025
US

V. Phone/Fax

Practice location:
  • Phone: 480-238-4343
  • Fax: 480-238-4343
Mailing address:
  • Phone: 480-238-4343
  • Fax: 480-238-4343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMARA RENEE BUTLER
Title or Position: MANAGER
Credential:
Phone: 480-238-4343