# EVEREADY HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eveready Home Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881361764
- **Authorized official:** MR. ALEXANDER OBENG MPH (ADMINISTRATOR)
- **Authorized official phone:** (703) 496-4300

## Contact information

- **Practice address:** 3509 WAVERLY DR, FREDERICKSBURG, VA 22407-6848
- **Practice address phone:** (703) 496-4300
- **Practice address fax:** (855) 256-4003
- **Mailing address:** 17603 MAIN STREET, DUMFRIES, VA 22026-2470
- **Mailing address phone:** (703) 496-4300
- **Mailing address fax:** (855) 256-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/27/2021
- **Last updated:** 08/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1205246022 | — | VA |