Organization · Type 2 NPI

Everside Health, LLC

Clinic/Center · Elkhart, IN

NPI number 1093360059 Active

Practice location

1621 W Beardsley Ave
Elkhart, IN 46514-1825

Call (773) 697-3144 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Deborah Carol Nethercutt, NP-CFamily Nurse Practitioner Elkhart, IN NPI 1104312172

Other clinic/center providers in Elkhart

See all in Elkhart →

NPI record

NPI: 1093360059
Entity type: Organization (Type 2)
Issued: Aug 7, 2019
Last updated: Sep 28, 2026
Status: Active

Other names

<unavail>
Activate Healthcare - Waste Away Group · doing business as
Activate Healthcare - Waste Away Group · doing business as

Authorized official

Jill Johnson Patton
Director of Risk Management
(704) 936-5546

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093360059

Everside Health, LLC's National Provider Identifier is 1093360059, issued on Aug 7, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Elkhart, IN. The record was last updated on Sep 28, 2026.