Provider Demographics
NPI:1073134623
Name:EVOLVE HEALTH GROUP
Entity Type:Organization
Organization Name:EVOLVE HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-697-4365
Mailing Address - Street 1:5627 ELLSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5359
Mailing Address - Country:US
Mailing Address - Phone:214-697-4365
Mailing Address - Fax:
Practice Address - Street 1:5627 ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5359
Practice Address - Country:US
Practice Address - Phone:214-697-4365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHODES HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-05
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health