Organization Active NPI

Evn Health and Wellness Management LLC

  • Home Infusion Agency
  • Dallas, TX
National Provider Identifier
1104562768
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
EVN HEALTH AND WELLNESS MANAGEMENT LLC
Doing business as
EVN Health and Wellness Management LLC
Practice address
1440 Sunny Glen Dr
Dallas, TX 75232-1124
Phone
(877) 552-3311
NPI assigned
May 6, 2022
Organization subpart
Yes
Parent organization
EXCELLENT PHLEBOTOMY LAB SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shannon L Turner, CPBT, CPIVNPI 1982340543
Title
Owner Provider
Phone
(877) 552-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1440 Sunny Glen Dr
Dallas, TX 75232-1124

Mailing address

1440 Sunny Glen Dr
Dallas, TX 75232-1124
Phone (877) 552-3311

Other names 1

  • EVN Health and Wellness Management LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL evnhealthandwellness.life Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2263847Evn Health & Wellness Management, LLC1440 Sunny Glen, Dallas, TX 75232Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory
Part of
Excellent Phlebotomy Lab Services LLC

Locations

1440 Sunny Glen Dr
Dallas, TX 75232
Phone (877) 552-3311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1104562768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 SUNNY GLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321124",
            "telephone_number": "877-552-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 SUNNY GLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321124",
            "telephone_number": "877-552-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVN HEALTH AND WELLNESS MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELLENT PHLEBOTOMY LAB SERVICES LLC",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "877-552-3311",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPBT, CPIV"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evnhealthandwellness.life",
            "affiliation": "N",
            "endpointDescription": "secure domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1440 Sunny Glen Dr",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752321124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EVN Health and Wellness Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.