National Provider Identifier Database

EVERSHINE CARE LLC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

EVERSHINE CARE, LLC
4844 CALLE BELLA AVE
LAS CRUCES, NM88012-7066
Phone: 575-382-5973
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for EVERSHINE CARE, LLC

NPI Number 1043688088
Legal business name
LBN
EVERSHINE CARE, LLC
Authorized official IVAN NWAOGU - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 09/08/2015
Last updated 09/08/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 1T3533

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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