MR. WILLIAM W EVERLY JR. CARE PROVIDER
NPI 1659078582
Home Health Aide in Canyon Lake, CA
- Individual
- Male
- Home Health Aide
About WILLIAM EVERLY
This page provides the complete NPI Profile along with additional information for William Everly, a provider established in Canyon Lake, California with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1659078582 assigned on February 2023. The practitioner's primary taxonomy code is 374U00000X with license number 002919919 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1659078582 Verify this NPI
- Provider Name
- MR. WILLIAM W EVERLY JR. CARE PROVIDER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30051 SWAN POINT DR CANYON LAKE, CA 92587
- Location Phone
- (949) 212-8851
- Location Fax
- (949) 481-3197
- Mailing Address
- 30051 SWAN POINT DR CANYON LAKE, CA 92587
- Mailing Phone
- (949) 212-8851
- Mailing Fax
- (949) 481-3197
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-10-2023
- Last Update Date
- 02-10-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- License No.
- 002919919
- License State
- CA
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care | 002919919 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002919919 | MEDICAID (05) | CA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659078582, enumerated as an "individual" on February 10, 2023.
The provider is located at 30051 SWAN POINT DR CANYON LAKE, CA 92587 and the phone number is (949) 212-8851.
Home Health Aide with taxonomy code 374U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
