Healthcare Provider Details

I. General information

NPI: 1043128960
Provider Name (Legal Business Name): EVERTRUST SENIOR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 PATRICK ST
KISSIMMEE FL
34741-5602
US

IV. Provider business mailing address

722 PATRICK ST
KISSIMMEE FL
34741-5602
US

V. Phone/Fax

Practice location:
  • Phone: 321-946-9585
  • Fax: 201-474-0468
Mailing address:
  • Phone: 321-946-9585
  • Fax: 201-474-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: GLENDA GARCIA RUANO
Title or Position: OWNER
Credential:
Phone: 321-946-9585