MEDICARE: EVERCARE HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	376J00000X	Homemaker
3	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1689358582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERCARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	14810 CICERO AVE STE 2C
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-1460
Country	:	US
Telephone Number	:	708-925-0433
Fax Number	:

Provider Business Practice Location Address
First Line	:	14810 CICERO AVE STE 2C
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-1460
Country	:	US
Telephone Number	:	708-925-0433
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KAZEEM OLAKUNLE AJEIGBE
Credential	:
Telephone Number	:	708-925-0433

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	09/19/2024

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Directions to “EVERCARE HOME HEALTH LLC ” Practice Location

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