EVOSOURCE (NPI# 1275912735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275912735 |
| Entity Type | Organization |
| Organization Name | EVOSOURCE |
| Practice Address |
1307 Peacham Ct Fresno TX 77545 |
| Mailing Address |
1307 Peacham Ct Fresno TX 77545-9554 |
| Practice Telephone | 2813891461 |
| Practice Fax Number | 2818494636 |
| Mailing Telephone | 2813891461 |
| Mailing Fax Number | 2818494636 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. EMMITT WALTON (OWNER) |
| Authorized Official Telephone | 2813891461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVOSOURCE LLC | 16 Bivona Lane, #134, New Windsor, Ny 12553 |
| Street Address |
1307 PEACHAM CT |
| City | FRESNO |
| State | TX |
| Zip Code | 77545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780100610 | Schristiandevelopment | Day Training, Developmentally Disabled Services | 3819 Teal Maple Ct., Fresno, TX 77545 | 2017-08-22 |
| 1548786924 | Katreece M Bell | Nurse Practitioner | 1834 Bravos Manor Lane, Fresno, TX 77545 | 2017-08-17 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1811394745 | Elaine Khuong | Pharmacist | 12225 Sr 6, Fresno, TX 77545 | 2014-11-20 |
| 1225442551 | Michael Jerome Tubbs | Specialist/Technologist, Other | 2126 Beacon Light Ln, Fresno, TX 77545 | 2014-06-14 |
| 1801219431 | Angelica Healthcare Services | Home Health | 3003 Valian Elm Street, Fresno, TX 77545 | 2014-02-03 |
| 1801048376 | Kroger Texas L P | Pharmacy | 10250 Fresno State Hwy 6, Fresno, TX 77545 | 2008-10-16 |
| 1215188818 | Kroger Texas Lp | Pharmacy | 10250 State Hwy 6, Fresno, CA 77545 | 2008-10-02 |
| 1528243201 | M & H Home Care Inc. | Home Health | 1335 Hunter Green Lane, Fresno, TX 77545 | 2007-12-31 |
| 1275628786 | Melissa Kaye Earls | Counselor | 4502 Reams Ln, Fresno, TX 77545 | 2006-10-03 |
| Find all providers in zip 77545 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316506819 | Satnam Basran | Private Vehicle | 1019 N Peach Ave # D217, Fresno, CA 93727-2465 | 2019-06-07 |
| 1528538063 | Tania Santiago-greathouse | Private Vehicle | 790 E Boulder Creek Ln, Fresno, CA 93730-1237 | 2018-11-27 |
| 1295264968 | Fidelia Medical Services | Private Vehicle | 1518 Glacier Blue Dr, Fresno, TX 77545-9526 | 2017-06-07 |
| 1891230678 | Priority Care Medical Transport LLC | Private Vehicle | 6737 N Milburn Ave, 160-79, Fresno, CA 93722-2141 | 2017-01-03 |
| 1770938110 | Oganes Shishikyan | Private Vehicle | 479 E San Ramon Ave, Fresno, CA 93710-6824 | 2016-05-03 |
| 1376959957 | Oxnard Institute | Private Vehicle | 6338 N Maroa Ave, 113, Fresno, CA 93704-1554 | 2014-07-03 |
| 1750714648 | Family Health Transportation | Private Vehicle | 1558 N 9th St, Fresno, CA 93703-4233 | 2013-08-14 |
| 1619499027 | Roni Enterprises LLC | Private Vehicle | 4411 Long Creek Dr, Fresno, TX 77545-6063 | 2017-07-07 |
| 1649642109 | Altash Inc | Private Vehicle | 6542 N Rafael Ave, Fresno, CA 93711-0954 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528155 | Aaron Wilson | Private Vehicle | 2408 Trailview Dr, Little Elm, TX 75068-6882 | 2020-11-05 |
| 1316548902 | Rosie Xpress LLC | Private Vehicle | 904 Carolyn St, Wharton, TX 77488-5602 | 2020-11-02 |
| 1336751676 | Akeshia Davis | Private Vehicle | 15622 Barton Orchard Ln, Houston, TX 77044-1963 | 2020-08-18 |
| 1508477365 | Family Care Transportation LLC | Private Vehicle | 2210 Rogers Rd Unit 6206, San Antonio, TX 78251-3674 | 2020-08-13 |
| 1265042089 | Top Source Transport, Inc. | Private Vehicle | 523 W Edinburg Ave., Ste. 1, Elsa, TX 78543 | 2020-08-06 |
| 1750909081 | Wigfall Transportation LLC | Private Vehicle | 1508 E Belt Line Rd Ste 205, Carrollton, TX 75006-6378 | 2020-07-13 |
| 1467070169 | Don Agbam | Private Vehicle | 17223 Cory Cornell Ln, Richmond, TX 77407-2962 | 2020-07-09 |
| 1942822903 | Bettermost N.e.m.t. LLC | Private Vehicle | 3228 Berkley St, Houston, TX 77017-1508 | 2020-05-13 |
| 1609498872 | Shirley Maxwell | Private Vehicle | 1106 Little Fox Dr, Dallas, TX 75253-5077 | 2020-05-11 |
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.