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General NPI Number Information
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NPI Number | 1265832182
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Entity Type | Organization
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Legal Business Name | EVERLY HOME HEALTH CARE, LLC-CDS
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 07/23/2025
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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 | PO BOX 35
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City | BLUE SPRINGS
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State | MO
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Zip | 64013-0035
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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/MANAGER/MEMBER
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Name | MS. KEITA L 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251E00000X
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License Number State | MO
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Taxonomy #2
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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 | MO
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