Organization Active NPI

Evolution Healthcare Services Inc.

  • Home Health Agency
  • Rockwall, TX
National Provider Identifier
1124278502
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PENDING Issued in TX
Legal business name
EVOLUTION HEALTHCARE SERVICES INC.
Practice address
148 Havenridge
Rockwall, TX 75032-6269
Phone
(469) 233-5525
Fax
(972) 635-5296
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mrs. Rose B Edet, RN
Title
Administrator/Don
Phone
(469) 233-5525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PENDING TX Primary
Community Based Hospice Care Agency 251G00000X PENDING TX

Addresses

Primary practice location

148 Havenridge
Rockwall, TX 75032-6269

Mailing address

148 Havenridge
Rockwall, TX 75032-6269
Phone (469) 233-5525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1124278502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HAVENRIDGE",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326269",
            "telephone_number": "469-233-5525",
            "fax_number": "972-635-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HAVENRIDGE",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326269",
            "telephone_number": "469-233-5525",
            "fax_number": "972-635-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "EDET",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "469-233-5525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.