Provider Demographics
NPI:1548053317
Name:EVERBRIGHT CARE LLC
Entity type:Organization
Organization Name:EVERBRIGHT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAKGWELE
Authorized Official - Middle Name:LEBO
Authorized Official - Last Name:MOLEPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-924-7244
Mailing Address - Street 1:3478 LAKESIDE DR NE UNIT 1006
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1859
Mailing Address - Country:US
Mailing Address - Phone:305-924-7244
Mailing Address - Fax:
Practice Address - Street 1:3478 LAKESIDE DR NE UNIT 1006
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1859
Practice Address - Country:US
Practice Address - Phone:305-924-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care