Organization Active NPI

Evolution Care Services LLC

  • Developmental Disabilities Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1376125369
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
EVOLUTION CARE SERVICES LLC
Practice address
6625 Miami Lakes Dr Ste 332
Miami Lakes, FL 33014-2705
Phone
(305) 779-5180
Fax
(786) 400-2004
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Patricia RodriguezNPI 1972078731
Title
Ceo
Phone
(786) 812-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

6625 Miami Lakes Dr Ste 332
Miami Lakes, FL 33014-2705

Mailing address

6001 NW 153Rd St Ste 154
Miami Lakes, FL 33014-2447
Phone (867) 486-9692

National Provider Directory

National Provider Directory
Tax ID family
Evolution Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6625 Miami Lakes Dr E
Ste 332
Miami Lakes, FL 33014
Phone (305) 779-5180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1376125369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 154",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142447",
            "telephone_number": "867-486-9692",
            "fax_number": "786-400-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR STE 332",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142705",
            "telephone_number": "305-779-5180",
            "fax_number": "786-400-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-812-9016"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.