Provider Demographics
NPI:1497471049
Name:EVAS HOME HEALTH LLC
Entity Type:Organization
Organization Name:EVAS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA /CMA
Authorized Official - Prefix:MS
Authorized Official - First Name:NORTESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-405-5958
Mailing Address - Street 1:1908 NE 26TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-3304
Mailing Address - Country:US
Mailing Address - Phone:405-400-5958
Mailing Address - Fax:
Practice Address - Street 1:1908 NE 26TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-3304
Practice Address - Country:US
Practice Address - Phone:405-400-5958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKNAOtherPRIVATE DUTY HOME HEALTH