EVOLVED SENIOR AND ADULT DAY CARE, LLC (NPI# 1912291667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912291667 |
| Entity Type | Organization |
| Organization Name | EVOLVED SENIOR AND ADULT DAY CARE, LLC |
| Other Organization Name | EVOLVED HOME HEALTH CARE |
| Practice Address |
15002 Ashton Rd Detroit MI 48223-2349 |
| Practice Telephone | 3134511228 |
| Practice Fax Number | 3134930925 |
| Mailing Telephone | 3134511228 |
| Mailing Fax Number | 3134930925 |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |
| Authorized Official Name | MS. KELLY K ESTELL (OWNER) |
| Authorized Official Telephone | 3134511228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | MI | Agencies | |
| N | 251J00000X | Nursing Care | MI | Agencies | |
| N | 253Z00000X | In Home Supportive Care | MI | Agencies | |
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 251E00000X | Home Health | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Evolved Home Health Care | Other Name - Individual/Organization |
| Street Address |
15002 ASHTON RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1467069286 | A Loving Touch Homecare Service LLC | Home Health | 7326 Roland St, Detroit, MI 48213-1011 | 2020-09-25 |
| 1578173720 | Deandre Shaw | Home Health | 9513 Beaconsfield St, Detroit, MI 48224-2849 | 2020-08-03 |
| 1639787716 | Brittany Care Services | Home Health | 19753 Appoline St, Detroit, MI 48235-1116 | 2020-07-15 |
| 1922616150 | Happy At Home LLC | Home Health | 14903 Artesian St, Detroit, MI 48223-2283 | 2020-07-14 |
| 1508489477 | Mostafa Galdi | Home Health | 6767 Saint Marys St, Detroit, MI 48228-3760 | 2020-05-26 |
| 1811518418 | Team Veteran,llc | Home Health | 19135 Van Dyke St, Detroit, MI 48234-3347 | 2020-05-05 |
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1932739752 | Lucy Cares Home Health Care LLC | Home Health | 3651 Buckingham Ave, Detroit, MI 48224-3534 | 2020-01-21 |
| Find all providers in DETROIT | ||||
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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.