NPIMap

Organization Active NPI

Evolve Health Care Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Forest City, NC
National Provider Identifier
1720416993
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-081-099 Issued in NC
Legal business name
EVOLVE HEALTH CARE SERVICES LLC
Practice address
126 Pine St
Forest City, NC 28043-4587
Phone
(828) 248-4369
Fax
(828) 248-4369
NPI assigned
Oct 24, 2013
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Hilary Briggs Puzak
Title
Owner
Phone
(910) 576-0691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-081-099 NC Primary

Addresses

Primary practice location

126 Pine St
Forest City, NC 28043-4587

Mailing address

614 Eldorado St
Troy, NC 27371-2628
Phone (910) 576-0691

Other names 1

  • Joyful Too LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Evolve Health Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1720416993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ELDORADO ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712628",
            "telephone_number": "910-576-0691",
            "fax_number": "910-576-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PINE ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434587",
            "telephone_number": "828-248-4369",
            "fax_number": "828-248-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "PUZAK",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "BRIGGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-576-0691"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-081-099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Too LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.