Provider Demographics
NPI:1871271619
Name:EVEREST HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:EVEREST HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMARION
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-665-8522
Mailing Address - Street 1:6 CARDINAL WAY
Mailing Address - Street 2:UNIT 900
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63102-3979
Mailing Address - Country:US
Mailing Address - Phone:314-665-8522
Mailing Address - Fax:
Practice Address - Street 1:6 CARDINAL WAY
Practice Address - Street 2:UNIT 900
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63102-3979
Practice Address - Country:US
Practice Address - Phone:314-665-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care