Organization Active NPI

Evas Legacy Health Care LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1336907864
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVAS LEGACY HEALTH CARE LLC
Practice address
6818 Coachlight Square CT
Florissant, MO 63033-5118
Phone
(314) 205-2065
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Erica Alexander
Title
Director
Phone
(314) 205-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6818 Coachlight Square CT
Florissant, MO 63033-5118

Mailing address

6818 Coachlight Square CT
Florissant, MO 63033-5118
Phone (314) 205-2065

Other names 1

  • Evas Legacy Health Care LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1336907864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 COACHLIGHT SQUARE CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335118",
            "telephone_number": "314-205-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 COACHLIGHT SQUARE CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335118",
            "telephone_number": "314-205-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAS LEGACY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-205-2065"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evas Legacy Health Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.