Active NPI
Evolved Enterprises LLC
Doing business as Tiffany Marble LLC
- Home Modifications Contractor
- Lee's Summit, MO
National Provider Identifier
1174402911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Jolie Everett, M.S., CCC-SLP
- Evergreen Chiropractic LLC
- Shawn Everhart
- Evexia Family Chiropractic, LLC
- Lindsey Evinger, APRN
- Expert Family Care, LLC (Assisting Hands Lee's Summit)
- Eye Care, LLC (Discover Vision Centers)
- Eyecare Specialties of Missouri LLC (Eyecare Specialties)
- Eyemart Express LLC
- Jacob Eyler
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.