Healthcare Provider Details

I. General information

NPI: 1699559245
Provider Name (Legal Business Name): EVERWELL HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17740 W CASSIA WAY
GOODYEAR AZ
85338-6429
US

IV. Provider business mailing address

17740 W CASSIA WAY
GOODYEAR AZ
85338-6429
US

V. Phone/Fax

Practice location:
  • Phone: 317-992-5060
  • Fax:
Mailing address:
  • Phone: 317-992-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: SHANEA HOWELL
Title or Position: OWNER
Credential:
Phone: 317-992-5060