MEDICARE: EVEREST HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568177913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVEREST HOME CARE

Provider Business Mailing Address
First Line	:	94 CITRUS PARK LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1854
Country	:	US
Telephone Number	:	720-938-9321
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 GOLDEN ISLES DR STE 204B
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4729
Country	:	US
Telephone Number	:	561-919-6366
Fax Number	:	303-484-4024

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. EDWARD RUVINS
Credential	:
Telephone Number	:	720-934-1122

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	11/20/2025

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Directions to “EVEREST HOME CARE ” Practice Location

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