Provider Demographics
NPI:1558189431
Name:EVERMORE MOBILE, LLC
Entity type:Organization
Organization Name:EVERMORE MOBILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ACCOUNTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSITA
Authorized Official - Middle Name:AGCAOILI
Authorized Official - Last Name:JACINTO
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT TRANSPORTATION
Authorized Official - Phone:808-627-2380
Mailing Address - Street 1:1624 MONTE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-3733
Mailing Address - Country:US
Mailing Address - Phone:808-627-2380
Mailing Address - Fax:
Practice Address - Street 1:1624 MONTE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3733
Practice Address - Country:US
Practice Address - Phone:808-627-2380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)