Healthcare Provider Details

I. General information

NPI: 1952238792
Provider Name (Legal Business Name): EVERNEAR HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 W GARDEN RD
VINELAND NJ
08360-2089
US

IV. Provider business mailing address

990 W GARDEN RD
VINELAND NJ
08360-2089
US

V. Phone/Fax

Practice location:
  • Phone: 856-362-7665
  • Fax:
Mailing address:
  • Phone: 856-362-7665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YADIRA LOPEZ
Title or Position: OWNER
Credential: APN
Phone: 856-362-7665