Evelyn'S Place Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVELYN'S PLACE INC

Practice address

4901 Jefferson St
Hollywood, FL 33021-7627

Phone

(754) 204-6112

Fax

(954) 894-1188

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Miss Priscilla WaltersNPI 1629515226

Title

Owner/Administrator

Phone

(754) 204-6112

Specialties & licenses 1

Addresses

Practitioners 1

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

• Priscilla Walters

  • Preferred Provider Organization
  • Hollywood, FL
  • NPI 1629515226
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1457040875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 JEFFERSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217627",
            "telephone_number": "754-204-6112",
            "fax_number": "954-894-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 JEFFERSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217627",
            "telephone_number": "754-204-6112",
            "fax_number": "954-894-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN'S PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "754-204-6112",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Evans, LCSW
• Lillian Evans, MD
• Linda Ann Evans, PH.D.
• Teresa Anne Evans, MD
• Yves S Eveillard, MD
• Evidence Base Medical
• Evolution Care Services LLC
• Evolving Wisdom
• Valeriya Evseeva
• Exablate of North Dade County

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.