Healthcare Provider Details

I. General information

NPI: 1619841269
Provider Name (Legal Business Name): EVERCARE HEALTH AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 EMERALD CREEK AVE
GREER SC
29651-5459
US

IV. Provider business mailing address

124 EMERALD CREEK AVE
GREER SC
29651-5459
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-0104
  • Fax:
Mailing address:
  • Phone: 727-424-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN ELIZABETH OLOUGHLIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: APRN
Phone: 727-424-0104