Organization Active NPI

Evolved Enterprises LLC

Doing business as Tiffany Marble LLC

  • Home Modifications Contractor
  • Lee's Summit, MO
National Provider Identifier
1174402911
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
EVOLVED ENTERPRISES LLC
Doing business as
Tiffany Marble LLC
Practice address
16 SE 16TH St
Lees Summit, MO 64081-3115
Phone
(913) 515-5525
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Mr. Jim Johnson
Title
General Manager
Phone
(913) 515-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary

Addresses

Primary practice location

16 SE 16TH St
Lees Summit, MO 64081-3115

Mailing address

16 SE 16TH St
Lees Summit, MO 64081-3115
Phone (913) 515-5525

Other names 1

  • Tiffany Marble LLC Doing business as

National Provider Directory

National Provider Directory

Locations

16 SE 16th St
Lees Summit, MO 64081
Phone (913) 515-5525

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1174402911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SE 16TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813115",
            "telephone_number": "913-515-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SE 16TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813115",
            "telephone_number": "913-515-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "913-515-5525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Marble LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.