EVERCARE RECOVERY
NPI 1780390088
Clinic/Center - Mental Health (Including Community Mental Health Center) in Randallstown, MD

Active since January 30, 2023
6 ROCK STORY CT, RANDALLSTOWN, MD 21133(443) 676-6123 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evercare Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERCARE RECOVERY (NPI 1780390088) is a healthcare organization registered as a mental health (including community mental health center) in Randallstown, Maryland and active in the NPI registry since January 2023. The organization lists Gideon T Fon, President, as its authorized official.

NPPES Registry Identity

NPI1780390088
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERCARE RECOVERY
Location Address6 ROCK STORY CTRandallstown, MD 21133-2844
Mailing Address6 Rock Story CtRandallstown, MD 21133-2844 · (443) 676-6123
Organization SubpartNo
Authorized OfficialGideon T FonPresident · (443) 676-6123
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1780390088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
6 ROCK STORY CT, Randallstown, MD 21133

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evercare Recovery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evercare Recovery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1891304887
6 ROCK STORY CT NONE
Randallstown, MD 21133
(443) 676-6123
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740825413
40 WINDBLUFF CT
Owings Mills, MD 21117
(410) 497-4237
✔ PECOS✔ Accepts Medicare3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evercare Recovery's NPI number?

The NPI number for Evercare Recovery is 1780390088. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Evercare Recovery located?

Evercare Recovery is located at 6 Rock Story Ct, Randallstown, MD 21133. The listed phone number is (443) 676-6123.

What is Evercare Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Evercare Recovery enrolled in Medicare?

Yes. Evercare Recovery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evercare Recovery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Evercare Recovery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evercare Recovery was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.