Healthcare Provider Details

I. General information

NPI: 1710603972
Provider Name (Legal Business Name): EVER READY HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24135 HIBISCUS LN
LAKE ELSINORE CA
92532-2716
US

IV. Provider business mailing address

24135 HIBISCUS LN
LAKE ELSINORE CA
92532-2716
US

V. Phone/Fax

Practice location:
  • Phone: 951-852-1516
  • Fax:
Mailing address:
  • Phone: 951-852-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ARVEAL HAWKINS
Title or Position: OWNER
Credential:
Phone: 951-852-1516