Organization
EVERCARE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONDA HUNT (OWNER/ADMINISTRATOR)
(463) 426-5174
Entity
Organization
Contact information
Practice address
2345 S LYNHURST DR STE 213, INDIANAPOLIS, IN 46241-5100
(463) 426-5174
Mailing address
2301 SHADOWOOD PKWY SE, ATLANTA, GA 30339-2363
(463) 426-5174
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
—
—
163WC2100X
Continence Care Registered Nurse
—
—
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WI0600X
Infection Control Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/08/2024
Last updated
07/16/2024
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