Active NPI
Evalve Life Co
- Assisted Living Facility
- Sunrise, FL
National Provider Identifier
1568996734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- EVALVE LIFE CO
- Practice address
- 11360 NW 29TH St
Sunrise, FL 33323-1659 - Phone
- (954) 592-5831
- Fax
- (727) 313-9561
- NPI assigned
- Apr 14, 2017
- 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
- Tameika Davis, NP
- Title
- President
- Phone
- (954) 609-3523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FL | Primary |
Addresses
Primary practice location
11360 NW 29TH St
Sunrise, FL 33323-1659
Mailing address
6990 NW 23Rd St
Margate, FL 33063-2029
Phone (954) 609-3523
Other practice location 1
6990 NW 23rd St
Margate, FL 33063-2029
Phone (954) 609-3523
Other practice location 2
2560 NW 83rd Ave
Sunrise, FL 33322-2926
Phone (954) 749-0538
National Provider Directory
National Provider Directory- Tax ID family
- Evalve Life Co
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Sunrise, FL
- NPI 1386159465
-
- Family Nurse Practitioner
- Oakland Park, FL
- NPI 1023416062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1568996734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6990 NW 23RD ST",
"city": "MARGATE",
"state": "FL",
"postal_code": "330632029",
"telephone_number": "954-609-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11360 NW 29TH ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333231659",
"telephone_number": "954-592-5831",
"fax_number": "727-313-9561"
}
],
"practiceLocations": [
{
"address_1": "6990 NW 23rd St",
"address_purpose": "LOCATION",
"city": "Margate",
"state": "FL",
"postal_code": "330632029",
"country_code": "US",
"telephone_number": "954-609-3523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2560 NW 83rd Ave",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333222926",
"country_code": "US",
"telephone_number": "954-749-0538",
"fax_number": "727-313-9561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EVALVE LIFE CO",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-14",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "TAMEIKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-609-3523",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.