# EVERCARE SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356111538
- **Authorized official:** TYRONDA HUNT (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (463) 426-5174

## Contact information

- **Practice address:** 2345 S LYNHURST DR STE 213, INDIANAPOLIS, IN 46241-5100
- **Practice address phone:** (463) 426-5174
- **Mailing address:** 2301 SHADOWOOD PKWY SE, ATLANTA, GA 30339-2363
- **Mailing address phone:** (463) 426-5174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | — | NULL | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | — | — | — |
| 163WC2100X | Continence Care Registered Nurse | — | NULL | — |
| 163WC2100X | Continence Care Registered Nurse | — | — | — |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | NULL | — |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 163WI0600X | Infection Control Registered Nurse | — | NULL | — |
| 163WI0600X | Infection Control Registered Nurse | — | — | — |
| 163WP0000X | Pain Management Registered Nurse | — | NULL | — |
| 163WP0000X | Pain Management Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 07/16/2024
