Provider Demographics
NPI:1235632639
Name:EVERLY HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:EVERLY HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KEITA
Authorized Official - Middle Name:LENOIRE
Authorized Official - Last Name:LATTIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-395-2440
Mailing Address - Street 1:2420 E LINWOOD BLVD STE 300B
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2195
Mailing Address - Country:US
Mailing Address - Phone:314-395-2440
Mailing Address - Fax:314-395-2443
Practice Address - Street 1:2420 E LINWOOD BLVD STE 300B
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2195
Practice Address - Country:US
Practice Address - Phone:314-395-2440
Practice Address - Fax:314-395-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health