Provider Demographics
NPI:1447893664
Name:EVER-CARE ORTHOTICS & PROSTHETICS LLC
Entity type:Organization
Organization Name:EVER-CARE ORTHOTICS & PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:612-354-4550
Mailing Address - Street 1:6601 LYNDALE AVE S STE 330
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2488
Mailing Address - Country:US
Mailing Address - Phone:612-354-4550
Mailing Address - Fax:612-354-4448
Practice Address - Street 1:6601 LYNDALE AVE S STE 330
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2488
Practice Address - Country:US
Practice Address - Phone:612-354-4550
Practice Address - Fax:612-354-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty
Yes335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty