Healthcare Provider Details

I. General information

NPI: 1083940456
Provider Name (Legal Business Name): EVERPURE HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20406 CANYON SHADOW DR
KATY TX
77450-8731
US

IV. Provider business mailing address

20406 CANYON SHADOW DR
KATY TX
77450-8731
US

V. Phone/Fax

Practice location:
  • Phone: 281-398-9896
  • Fax: 281-647-6741
Mailing address:
  • Phone: 281-398-9896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER O WEZE
Title or Position: CEO/ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 281-647-6776