Provider Demographics
NPI:1619841269
Name:EVERCARE HEALTH AT HOME LLC
Entity type:Organization
Organization Name:EVERCARE HEALTH AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:OLOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:727-424-0104
Mailing Address - Street 1:124 EMERALD CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5459
Mailing Address - Country:US
Mailing Address - Phone:727-424-0104
Mailing Address - Fax:
Practice Address - Street 1:124 EMERALD CREEK AVE
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-5459
Practice Address - Country:US
Practice Address - Phone:727-424-0104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty