Healthcare Provider Details

I. General information

NPI: 1265387807
Provider Name (Legal Business Name): EVERWELL HEALTH NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 YORK RD
TIMONIUM MD
21093-6035
US

IV. Provider business mailing address

1301 YORK RD STE 800
TIMONIUM MD
21093-6011
US

V. Phone/Fax

Practice location:
  • Phone: 410-449-2121
  • Fax:
Mailing address:
  • Phone: 410-449-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICA KNOX
Title or Position: MANAGER
Credential:
Phone: 410-449-2121