Theresa Evans

Individual provider Active NPI Case Management Agency · Margate, FL

NPI 1053665992 · NPPES record last updated Nov 16, 2012

Key facts

NPI
1053665992
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
541 S State Road 7 Ste 8
Margate, FL 33068-1711
Phone
(786) 294-4303
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ardor Family Support Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Yes

Addresses

Primary practice location

541 S State Road 7 Ste 8
Margate, FL 33068-1711

Mailing address

PO Box 291285
Davie, FL 33329-1285

Other providers in Margate, FL

All providers in Margate, FL · Case Management Agency in Florida

Sources for this page

Verify at the official NPI Registry.