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General NPI Number Information
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NPI Number | 1619841269
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Entity Type | Organization
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Legal Business Name | EVERCARE HEALTH AT HOME LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 124 EMERALD CREEK AVE
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City | GREER
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State | SC
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Zip | 29651-5459
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Country | US
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Telephone | 727-424-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 124 EMERALD CREEK AVE
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City | GREER
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State | SC
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Zip | 29651-5459
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Country | US
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Telephone | 727-424-0104
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. LAUREN ELIZABETH OLOUGHLIN
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Credential | APRN
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Telephone | 727-424-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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