Provider Demographics
NPI:1013892967
Name:EVERCARE HEALTHS LLC
Entity type:Organization
Organization Name:EVERCARE HEALTHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-898-8037
Mailing Address - Street 1:15108 SE 179TH ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9092
Mailing Address - Country:US
Mailing Address - Phone:801-898-8037
Mailing Address - Fax:
Practice Address - Street 1:15108 SE 179TH ST APT 3D
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-9092
Practice Address - Country:US
Practice Address - Phone:801-898-8037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management