Provider Demographics
NPI:1154282663
Name:EVERSHIELD CARE LLC
Entity type:Organization
Organization Name:EVERSHIELD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ABYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-717-7340
Mailing Address - Street 1:450 ALASKAN WAY S STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2785
Mailing Address - Country:US
Mailing Address - Phone:616-717-7340
Mailing Address - Fax:
Practice Address - Street 1:450 ALASKAN WAY S STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2785
Practice Address - Country:US
Practice Address - Phone:616-717-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care