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NPI 1356149678

NPI 1356149678 : 4EVERCARE LLC : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1356149678
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    Entity Type          |    Organization 
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    Legal Business Name  |    4EVERCARE LLC 
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Dates
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    Enumeration Date     |    03/04/2025
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    1222 W SHAW AVE STE B 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93711-3706
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    Country              |    US
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    Telephone            |    805-216-2845
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    Fax                  |    855-852-6928
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Provider Business Mailing Address
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    Address Line         |    1222 W SHAW AVE STE B 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93711-3706
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    Country              |    US
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    Telephone            |    559-330-8360
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    Fax                  |    855-852-6928
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHERYL S ANDAYA 
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    Credential           |    
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    Telephone            |    559-330-8360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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