Provider Demographics
NPI:1124991245
Name:EVERCARE HEALTH
Entity type:Organization
Organization Name:EVERCARE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-890-9070
Mailing Address - Street 1:12850 CYPRESS CAPE CIR UNIT 168
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1620
Mailing Address - Country:US
Mailing Address - Phone:561-890-9070
Mailing Address - Fax:
Practice Address - Street 1:12850 CYPRESS CAPE CIR UNIT 168
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1620
Practice Address - Country:US
Practice Address - Phone:561-890-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty