MEDICARE: EVERTRUST HEALTH LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1659132397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERTRUST HEALTH LLC

Provider Business Mailing Address
First Line	:	1441 SW 58TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-8025
Country	:	US
Telephone Number	:	239-460-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	6214 PRESIDENTIAL CT STE G
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3595
Country	:	US
Telephone Number	:	239-460-0021
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	YILENY ECHEVARRIA
Credential	:
Telephone Number	:	239-460-0021

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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Directions to “EVERTRUST HEALTH LLC ” Practice Location

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