Organization
EVERCARE HOME HEALTH & HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE J SQUIRE (PRESIDENT/CEO)
(801) 608-5493
Entity
Organization
Contact information
Practice address
10808 RIVER FRONT PARKWAY, SUITE 398, SOUTH JORDAN, UT 84095-5761
(801) 984-8089
(801) 984-4320
Mailing address
10808 RIVER FRONT PARKWAY, SUITE 398, SOUTH JORDAN, UT 84095-5761
(801) 984-8089
(801) 984-4320
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2006-HHA-42584
UT
251E00000X
Home Health Agency
Primary
2009-HHA-90252
UT
251G00000X
Community Based Hospice Care Agency
2006-HOSPICE-67400
UT
251G00000X
Community Based Hospice Care Agency
2009-HOSPICE-90210
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470950180001
HOSPICE PROVIDER #
UT
05
—
510500085001
—
UT
Enumeration date
02/02/2007
Last updated
07/14/2009
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