Organization Active NPI

Evolution Health

  • Land Ambulance
  • Pompano Beach, FL
National Provider Identifier
1841744570
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5190639 Issued in FL
Legal business name
EVOLUTION HEALTH
Practice address
2500 NW 29TH MNR
Pompano Beach, FL 33069-1031
Phone
(855) 663-6241
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Mr. Jovan Suengas, LPN
Title
Nurse Navigator
Phone
(855) 663-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5190639 FL Primary

Addresses

Primary practice location

2500 NW 29TH MNR
Pompano Beach, FL 33069-1031

Mailing address

2500 NW 29TH MNR
Pompano Beach, FL 33069-1031
Phone (855) 663-6241

National Provider Directory

National Provider Directory

Locations

2500 NW 29th Mnr
Pompano Beach, FL 33069
Phone (855) 488-4875

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1841744570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 29TH MNR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691031",
            "telephone_number": "855-663-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 29TH MNR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691031",
            "telephone_number": "855-663-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SUENGAS",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_title_or_position": "NURSE NAVIGATOR",
        "authorized_official_telephone_number": "855-663-6241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "5190639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.