Healthcare Provider Details

I. General information

NPI: 1154282663
Provider Name (Legal Business Name): EVERSHIELD CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 ALASKAN WAY S STE 200
SEATTLE WA
98104-2785
US

IV. Provider business mailing address

450 ALASKAN WAY S STE 200
SEATTLE WA
98104-2785
US

V. Phone/Fax

Practice location:
  • Phone: 616-717-7340
  • Fax:
Mailing address:
  • Phone: 616-717-7340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABYAN MUSE
Title or Position: OWNER, ADMIN
Credential:
Phone: 616-717-7340