Provider Demographics
NPI:1437926052
Name:ERVOCHMIDA, LLC
Entity type:Organization
Organization Name:ERVOCHMIDA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VOLCY
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:SAINTIL
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:561-353-7815
Mailing Address - Street 1:2919 W BARGELLO LN
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:IN
Mailing Address - Zip Code:46157-6150
Mailing Address - Country:US
Mailing Address - Phone:561-353-7815
Mailing Address - Fax:
Practice Address - Street 1:2919 W BARGELLO LN
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:IN
Practice Address - Zip Code:46157-6150
Practice Address - Country:US
Practice Address - Phone:317-721-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty