Healthcare Provider Details

I. General information

NPI: 1679402028
Provider Name (Legal Business Name): EVERCARE AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 LAUREL CANYON BLVD STE 202
VALLEY VILLAGE CA
91607-4917
US

IV. Provider business mailing address

5315 LAUREL CANYON BLVD STE 202
VALLEY VILLAGE CA
91607-4917
US

V. Phone/Fax

Practice location:
  • Phone: 818-665-9798
  • Fax: 818-906-4300
Mailing address:
  • Phone: 818-665-9798
  • Fax: 818-906-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SVETLANA SIMONYAN
Title or Position: CEO/CFO/BM
Credential:
Phone: 818-665-9798