Provider Demographics
NPI:1396568234
Name:EVERLASTING CARE HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:EVERLASTING CARE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:LOCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:402-278-6149
Mailing Address - Street 1:PO BOX 166
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-0166
Mailing Address - Country:US
Mailing Address - Phone:402-278-6149
Mailing Address - Fax:
Practice Address - Street 1:2611 N 112TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3657
Practice Address - Country:US
Practice Address - Phone:402-278-6149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health