NPIMap

Organization Active NPI

Evolved Senior and Adult Day Care, LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1912291667
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVOLVED SENIOR AND ADULT DAY CARE, LLC
Practice address
15002 Ashton Rd
Detroit, MI 48223-2349
Phone
(313) 451-1228
Fax
(313) 493-0925
NPI assigned
May 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Authorized official

Name
Ms. Kelly K Estell
Title
Owner
Phone
(313) 451-1228

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MI
Home Health Agency 251E00000X MI Primary
Nursing Care Agency 251J00000X MI
In Home Supportive Care Agency 253Z00000X MI
Private Vehicle 347C00000X

Addresses

Primary practice location

15002 Ashton Rd
Detroit, MI 48223-2349

Mailing address

15002 Ashton Rd
Detroit, MI 48223-2349
Phone (313) 451-1228

Other names 1

  • Evolved Home Health Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1912291667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 ASHTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232349",
            "telephone_number": "313-451-1228",
            "fax_number": "313-493-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 ASHTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232349",
            "telephone_number": "313-451-1228",
            "fax_number": "313-493-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED SENIOR AND ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "ESTELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-451-1228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolved Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.