Healthcare Provider Details

I. General information

NPI: 1265362248
Provider Name (Legal Business Name): EVERTRUST COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12511 LOOKING GLASS WAY
INDIANAPOLIS IN
46235
US

IV. Provider business mailing address

1825 E SOUTHERN AVE STE 482
TEMPE AZ
85282-5814
US

V. Phone/Fax

Practice location:
  • Phone: 602-681-6101
  • Fax: 317-534-3002
Mailing address:
  • Phone: 602-681-6101
  • Fax: 317-534-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: KAITLANN A WHITNEY
Title or Position: OWNER
Credential:
Phone: 602-681-6101