Evolve Emod LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

EVOLVE EMOD LLC

Practice address

5965 S 900 E Ste 255
Salt Lake City, UT 84121-1872

Phone

(844) 438-7577

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Andrew Winakor

Title

Member

Phone

(516) 807-9324

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1699182212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S 900 E STE 255",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211872",
            "telephone_number": "844-438-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 S 900 E STE 255",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211872",
            "telephone_number": "844-438-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE EMOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WINAKOR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-807-9324"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Evertsen, BEHAVIOR TECHNICIAN
• Christopher M. Evola, MD
• Evolution Academy of Utah LLC
• Evolutionary Healthcare LLC
• Evolve 360
• Lacey Dru Eward
• Briana Ewell
• Esther Ewell, LCSW
• Dana L Ewer
• Sharon Ewer

• Home Modifications Contractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Home Modifications Contractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.