Healthcare Provider Details

I. General information

NPI: 1518536390
Provider Name (Legal Business Name): EVERCARE HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 VALLEY BLVD STE 340-1
EL MONTE CA
91731-2500
US

IV. Provider business mailing address

11100 VALLEY BLVD STE 340-1
EL MONTE CA
91731-2500
US

V. Phone/Fax

Practice location:
  • Phone: 818-636-8055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LUSINE HUNANYAN
Title or Position: CEO/PRES.
Credential:
Phone: 818-636-8055