Healthcare Provider Details
I. General information
NPI: 1396663688
Provider Name (Legal Business Name): EVER MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 S 400 E STE 713
BOUNTIFUL UT
84010-4938
US
IV. Provider business mailing address
450 S 400 E STE 713
BOUNTIFUL UT
84010-4938
US
V. Phone/Fax
- Phone: 385-492-0375
- Fax: 385-492-0375
- Phone: 385-492-0375
- Fax: 385-492-0375
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAEEM
EMMANUAL
Title or Position: OWNER
Credential:
Phone: 385-492-0375