Organization · NPI-2

Everside Health, LLC

Clinic/Center · Elkhart, IN

NPI number1093360059
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1093360059
Entity type
Organization (NPI-2)
Legal business name
Everside Health, LLC
Organization subpart
No
Enumeration date
Aug 7, 2019
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Activate Healthcare - Waste Away Group (Doing Business As)

Practice location

1621 W Beardsley Ave
Elkhart, IN 46514-1825

Phone 773-697-3144

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Elkhart, IN