Active NPI
Lillie Evans
- Home Health Aide
- Hurtsboro, AL
National Provider Identifier
1093388290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 597 Shady Grove Rd
Hurtsboro, AL 36860-2815 - Phone
- (334) 667-6394
- Fax
- (334) 667-0077
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
597 Shady Grove Rd
Hurtsboro, AL 36860-2815
Mailing address
PO Box 591
Hurtsboro, AL 36860-0591
Phone (334) 667-6394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Care | Home Health Aide | Current | Accepting new patients |
Locations
597 Shady Grove Rd
Hurtsboro, AL 36860
Phone (334) 667-6394
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1093388290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591",
"city": "HURTSBORO",
"state": "AL",
"postal_code": "368600591",
"telephone_number": "334-667-6394",
"fax_number": "334-667-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 SHADY GROVE RD",
"city": "HURTSBORO",
"state": "AL",
"postal_code": "368602815",
"telephone_number": "334-667-6394",
"fax_number": "334-667-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LILLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurtsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.