Healthcare Provider Details

I. General information

NPI: 1740193788
Provider Name (Legal Business Name): EVERCREST HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W 14TH ST STE 134
TEMPE AZ
85281-6944
US

IV. Provider business mailing address

2005 W 14TH ST STE 134
TEMPE AZ
85281-6944
US

V. Phone/Fax

Practice location:
  • Phone: 602-960-2202
  • Fax:
Mailing address:
  • Phone: 602-960-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JANAE BREE DANIELS
Title or Position: CEO/CO-FOUNDER
Credential:
Phone: 360-213-8979