Healthcare Provider Details

I. General information

NPI: 1366308546
Provider Name (Legal Business Name): EVERMORE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 1ST ST
IDAHO FALLS ID
83401-3929
US

IV. Provider business mailing address

555 1ST ST
IDAHO FALLS ID
83401-3929
US

V. Phone/Fax

Practice location:
  • Phone: 208-346-1812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY WHEELER
Title or Position: ADMIN
Credential:
Phone: 208-346-1812