Evolve Community Services, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

EVOLVE COMMUNITY SERVICES, LLC

Doing business as

Evolve Community Services, LLC

Practice address

55 Park St Apt 2
Attleboro, MA 02703-2363

Phone

(774) 719-3922

NPI assigned

Feb 4, 2022

Last updated

May 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Widmayer AmbroiseNPI 1467114413

Title

Ceo

Phone

(774) 719-3922

Specialties & licenses 9

Addresses

Other names 1

• Evolve Community Services, LLC Doing business as

Electronic endpoints 1

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.

• Widmayer Ambroise, MD

  • In Home Supportive Care Agency
  • Attleboro, MA
  • NPI 1467114413

  Chore Provider

  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1598419012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK ST APT 2",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK ST APT 2",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032363",
            "telephone_number": "774-719-3922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Downey Rd",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022244",
            "country_code": "US",
            "telephone_number": "774-719-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "WIDMAYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-719-3922"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@evolvecommunityservices.com",
            "affiliation": "N",
            "endpointDescription": "info@evolvecommunityservices.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Park St Apt 2",
            "city": "Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027032363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolve Community Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corinn Ethier
• Lynda Eunice-Giles
• Bryan M. Evans, M.ED.
• Julia Evdokimova, RDN
• Everwell Collaborative Solutions PLLC
• Mara Lima Evora Rocha
• Kristy Marie Falcao, RN, NP
• Kristyn Falcione
• Khadijatou Mbaye Fall, MBA
• Elizabeth Ann Fallon, PT

• Home Health Registered Nurse in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Home Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.