Provider Demographics
NPI:1649741216
Name:EVOLVE CARE STAFFING
Entity Type:Organization
Organization Name:EVOLVE CARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUANAEGBULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-472-2429
Mailing Address - Street 1:2112 ASTER TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6339
Mailing Address - Country:US
Mailing Address - Phone:682-472-2429
Mailing Address - Fax:
Practice Address - Street 1:2112 ASTER TRL
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6339
Practice Address - Country:US
Practice Address - Phone:682-472-2429
Practice Address - Fax:469-250-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty