Evolve Family Life Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EVOLVE FAMILY LIFE SERVICES LLC

Practice address

1916 Ringgold Ave
Coushatta, LA 71019-9089

Phone

(318) 562-3596

Fax

(318) 626-7179

NPI assigned

Aug 26, 2022

Last updated

Apr 1, 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

Elizabeth Taylor

Title

Owner

Phone

(318) 470-4636

Specialties & licenses 13

Addresses

Electronic endpoints 1

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.

• Rasby Mason II

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
  • NPI 1649001868

  Meals

  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1356060842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 NORMANDIE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183866",
            "telephone_number": "318-562-3596",
            "fax_number": "318-626-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 RINGGOLD AVE",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199089",
            "telephone_number": "318-562-3596",
            "fax_number": "318-626-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4727 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711096908",
            "country_code": "US",
            "telephone_number": "318-562-3596",
            "fax_number": "318-626-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9314 Normandie Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183866",
            "country_code": "US",
            "telephone_number": "318-562-3596",
            "fax_number": "318-626-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE FAMILY LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-470-4636"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabethmtaylor12@att.net",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "address_1": "1916 Ringgold Ave",
            "city": "Coushatta",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710199089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Jeanne Dejean-Eaton, REGISTERED NURSE
• Department of Health & Hospitals (Red River Behavioral Health Clinic)
• Lindsay Hawthorne Dupree, DPT
• Claire Elise Endris
• Esther M. Holloway, M.D., Apmc
• Melanie Paul Francis, PA-C
• Freds Stores of Tennessee Inc. (Fred's Pharmacy 3722)
• Green Meadow Haven
• Shannon Stewart Gresham, M.S., L.A.C.
• Macy Guin

• Non-emergency Medical Transport (VAN) in Coushatta, LA
• Providers in Coushatta, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.