MEDICARE: EVEREST REAL ESTATE INVESTMENTS, LLP

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	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730774340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVEREST REAL ESTATE INVESTMENTS, LLP

Provider Business Mailing Address
First Line	:	6030 S RICE AVE STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2944
Country	:	US
Telephone Number	:	713-660-0557
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 CLEAR LAKE CITY BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2372
Country	:	US
Telephone Number	:	713-660-0555
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	KEELYN MARLATT
Credential	:
Telephone Number	:	713-332-9509

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	03/05/2021

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