Healthcare Provider Details

I. General information

NPI: 1518783836
Provider Name (Legal Business Name): EVEREST SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 02/05/2025
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 W BROADWAY STE 200
DERRY NH
03038-2323
US

IV. Provider business mailing address

84 W BROADWAY STE 200
DERRY NH
03038-2323
US

V. Phone/Fax

Practice location:
  • Phone: 603-264-2546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KAMAL MAHARJAN
Title or Position: MANAGER/ADMINISTRATOR
Credential:
Phone: 603-264-2546