Evas Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVAS HEALTHCARE LLC

Practice address

380 Wisteria Blvd
Covington, GA 30016-7267

Phone

(678) 660-3939

Fax

(678) 660-3939

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Demetrius Juliao

Title

Owner

Phone

(404) 242-5022

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1730732827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MONTICELLO ST SW STE 9",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142306",
            "telephone_number": "678-660-3939",
            "fax_number": "678-660-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WISTERIA BLVD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167267",
            "telephone_number": "678-660-3939",
            "fax_number": "678-660-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-09-17",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "JULIAO",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-5022"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843640730",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evashealthcarellc@gmail.com",
            "affiliation": "N",
            "address_1": "380 Wisteria Blvd",
            "city": "Covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300167267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evashealthcarellc@gmail.com",
            "affiliation": "N",
            "address_1": "1122 Monticello St SW Ste 9",
            "city": "Covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300142306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.