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NPI 1235632639

NPI 1235632639 : EVERLY HOME HEALTH CARE, LLC : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1235632639
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERLY HOME HEALTH CARE, LLC 
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Dates
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    Enumeration Date     |    03/12/2018
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    2420 E LINWOOD BLVD STE 300B 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64109-2195
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    Country              |    US
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    Telephone            |    314-395-2440
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    Fax                  |    314-395-2443
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Provider Business Mailing Address
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    Address Line         |    2420 E LINWOOD BLVD STE 300B 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64109-2195
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    Country              |    US
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    Telephone            |    314-395-2440
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    Fax                  |    314-395-2443
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Authorized Official
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    Title or Position    |    OWNER/MEMBER
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    Name                 |    MS. KEITA LENOIRE LATTIMORE 
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    Credential           |    
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    Telephone            |    314-395-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QV0200X
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    Taxonomy Name        |    VA Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QB0400X
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    Taxonomy Name        |    Birthing Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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