Provider Demographics
NPI:1558051441
Name:EVAN HOME CARE SERVICES
Entity Type:Organization
Organization Name:EVAN HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-300-9077
Mailing Address - Street 1:4606 YELLOW BAY DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-2505
Mailing Address - Country:US
Mailing Address - Phone:321-300-9077
Mailing Address - Fax:321-291-5124
Practice Address - Street 1:4606 YELLOW BAY DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-2505
Practice Address - Country:US
Practice Address - Phone:321-300-9077
Practice Address - Fax:321-291-5124
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVAN HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health