Provider Demographics
NPI:1528231693
Name:EVOLUTION HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:EVOLUTION HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:BINO
Authorized Official - Middle Name:T
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-927-0103
Mailing Address - Street 1:101 BURR RIDGE PARKWAY STE 202
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527
Mailing Address - Country:US
Mailing Address - Phone:630-468-2835
Mailing Address - Fax:360-468-2824
Practice Address - Street 1:101 BURR RIDGE PARKWAY STE 202
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527
Practice Address - Country:US
Practice Address - Phone:630-468-2835
Practice Address - Fax:360-468-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health