Organization Active NPI

Evan Home Care Services

  • In Home Supportive Care Agency
  • Kissimmee, FL
National Provider Identifier
1558051441
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVAN HOME CARE SERVICES
Practice address
4606 Yellow Bay Dr
Kissimmee, FL 34758-2505
Phone
(321) 300-9077
Fax
(321) 291-5124
NPI assigned
May 12, 2023
Organization subpart
Yes
Parent organization
EVAN HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Vadia EstevezNPI 1487396792
Title
Owner
Phone
(321) 300-9077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4606 Yellow Bay Dr
Kissimmee, FL 34758-2505

Mailing address

4606 Yellow Bay Dr
Kissimmee, FL 34758-2505
Phone (321) 300-9077

National Provider Directory

National Provider Directory
Part of
Evan Home Care LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1558051441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 YELLOW BAY DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582505",
            "telephone_number": "321-300-9077",
            "fax_number": "321-291-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 YELLOW BAY DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582505",
            "telephone_number": "321-300-9077",
            "fax_number": "321-291-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN HOME CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVAN HOME CARE LLC",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "VADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-300-9077"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.