Provider Demographics
NPI:1376925446
Name:EVANS ELITE ENTERPRISE
Entity type:Organization
Organization Name:EVANS ELITE ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LASHABRIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-402-6024
Mailing Address - Street 1:1802 MANSFIELD WEBB RD STE 208
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7810
Mailing Address - Country:US
Mailing Address - Phone:214-402-6024
Mailing Address - Fax:972-730-9404
Practice Address - Street 1:1802 MANSFIELD WEBB RD STE 208
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7810
Practice Address - Country:US
Practice Address - Phone:214-402-6024
Practice Address - Fax:972-730-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health