Healthcare Provider Details

I. General information

NPI: 1821997933
Provider Name (Legal Business Name): EVA CATHERINE EVERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2026
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 6TH ST APT F
HARRISON MI
48625-9123
US

IV. Provider business mailing address

1049 CRESTVIEW DR
HARRISON MI
48625-9302
US

V. Phone/Fax

Practice location:
  • Phone: 989-560-8187
  • Fax:
Mailing address:
  • Phone: 989-560-8187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: