# EVERGRACE HOME SERVICES LLC

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

## Provider details

- **NPI number:** 1427945765
- **Authorized official:** MARY LOUINA LOUIS (MISS)
- **Authorized official phone:** (917) 400-6357

## Contact information

- **Practice address:** 5710 NW 54TH WAY, TAMARAC, FL 33319-2517
- **Practice address phone:** (917) 400-6357
- **Mailing address:** 5710 NW 54TH WAY, TAMARAC, FL 33319-2517
- **Mailing address phone:** (917) 400-6357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025