Healthcare Provider Details

I. General information

NPI: 1194651935
Provider Name (Legal Business Name): EVERLY CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

215 CASTILLON WAY
SAN JOSE CA
95119-1504
US

IV. Provider business mailing address

940 WHITE CLOUD DR
MORGAN HILL CA
95037-6062
US

V. Phone/Fax

Practice location:
  • Phone: 408-316-3016
  • Fax:
Mailing address:
  • Phone: 408-316-3016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: NAZILA FEREYDOON
Title or Position: LICENSEE/ADMINSTRATOR
Credential:
Phone: 408-316-3016