Provider Demographics
NPI:1841377066
Name:EVANKYLE HEALTHCARE
Entity type:Organization
Organization Name:EVANKYLE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-643-1404
Mailing Address - Street 1:7119 RICHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-6011
Mailing Address - Country:US
Mailing Address - Phone:713-643-1404
Mailing Address - Fax:713-643-1353
Practice Address - Street 1:7119 RICHWOOD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-6011
Practice Address - Country:US
Practice Address - Phone:713-643-1404
Practice Address - Fax:713-643-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health