Provider Demographics
NPI:1346735438
Name:EVA HEALTH SERVICES LLC
Entity type:Organization
Organization Name:EVA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAUGO
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ONYEKWERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-725-3424
Mailing Address - Street 1:3436 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1294
Mailing Address - Country:US
Mailing Address - Phone:410-725-3424
Mailing Address - Fax:410-869-9740
Practice Address - Street 1:3436 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1294
Practice Address - Country:US
Practice Address - Phone:410-725-3424
Practice Address - Fax:410-869-9740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)