Evolving Lives, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EVOLVING LIVES, INC

Practice address

24601 Packinghouse Rd Unit 2
Homestead, FL 33032-3807

Phone

(786) 830-8171

NPI assigned

Jan 19, 2022

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khristopher Lucin-Caceres, MSW

Title

Program Director

Phone

(786) 830-8171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dina Hess, LCSW

  • Clinical Social Worker
  • Homestead, FL
  • NPI 1487256780
  NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1205588423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24601 PACKINGHOUSE RD UNIT 2",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24601 PACKINGHOUSE RD UNIT 2",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323807",
            "telephone_number": "786-830-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING LIVES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "LUCIN-CACERES",
        "authorized_official_first_name": "KHRISTOPHER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "786-830-8171",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Anntonia Evans, D. C.
• Theodore Alfred Evans, MD
• Ann Evenson, SLP
• Everest Kids Therapy LLC
• Samantha Ann Evlogimenos, LCSW
• Exceeding Expectations ABA, LLC
• Excellence Healthcare Services Corp
• Excellence Home Care Services Inc.
• Excellence Medical Center
• Excellent Care Mental Health LLC

• Multi-Specialty Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.