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General NPI Number Information
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NPI Number | 1740193788
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Entity Type | Organization
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Legal Business Name | EVERCREST HOME CARE
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 2005 W 14TH ST STE 134
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City | TEMPE
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State | AZ
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Zip | 85281-6944
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Country | US
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Telephone | 602-960-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 W 14TH ST STE 134
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City | TEMPE
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State | AZ
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Zip | 85281-6944
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Country | US
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Telephone | 602-960-2202
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Fax |
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Authorized Official
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Title or Position | CEO/CO-FOUNDER
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Name | JANAE BREE DANIELS
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Credential |
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Telephone | 360-213-8979
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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