Provider Demographics
NPI:1497259089
Name:EVOLVERE HEALTH
Entity Type:Organization
Organization Name:EVOLVERE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:142-510-3009
Mailing Address - Street 1:3 GREENWICH OFFICE PARK STE 1
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5154
Mailing Address - Country:US
Mailing Address - Phone:914-251-0300
Mailing Address - Fax:203-717-1885
Practice Address - Street 1:3 GREENWICH OFFICE PARK STE 1
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5154
Practice Address - Country:US
Practice Address - Phone:914-251-0300
Practice Address - Fax:203-717-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management