Active NPI
Excellent Evolution Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tampa, FL
National Provider Identifier
1376458133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- EXCELLENT EVOLUTION INC.
- Practice address
- 1404 Tech Blvd
Tampa, FL 33619-7865 - Phone
- (813) 424-8896
- Fax
- (813) 533-6791
- NPI assigned
- Aug 17, 2026
- Last updated
- Aug 17, 2026
- 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
- Charles G. Rivera-Martinez
- Title
- Ceo/Administrator
- Phone
- (813) 424-8896
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1404 Tech Blvd
Tampa, FL 33619-7865
Mailing address
1404 Tech Blvd
Tampa, FL 33619-7865
Phone (813) 424-8896
National Provider Directory
National Provider DirectoryLocations
1404 Tech Blvd
Tampa, FL 33619
Phone (813) 424-8896
Practitioners & affiliated clinicians
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Riverview, FL
- NPI 1033024880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1376458133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 TECH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197865",
"telephone_number": "813-424-8896",
"fax_number": "813-533-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 TECH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197865",
"telephone_number": "813-424-8896",
"fax_number": "813-533-6791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT EVOLUTION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "RIVERA-MARTINEZ",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "813-424-8896"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Chad Christopher Exceen, LMHC
- Excel Durable Medical Equipment, LLC
- Excel Facility Inc (Excel Care Center)
- Excel Nursing and Rehab LLC
- Excellence in Home Care, Inc.
- Excellent Health Medical Center Inc
- Excelsis Behavioral Health, Inc.
- Exceptional Care of Tampa, Inc.
- Exceptional Health Care Inc
- Exceptional Home Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.