Evolve Emod Llc

LBN: Evolve Emod Llc
Evolve Emod Llc is an health care organization with primary practice located at 5965 S 900 E Ste 255 , Salt Lake City UT 84121-1872. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Home Modifications, Other Service Providers / Vehicle Modifications, Nursing Service Related Providers / Chore Provider. Other Service Providers / Home Modifications is the primary health care specialty. Evolve Emod Llc can be contacted via phone (844) 438-7577, or through Winakor, Andrew via phone (516) 807-9324.

Contact Information

Primary practice address
5965 S 900 E Ste 255 Salt Lake City UT 84121-1872
Phone: (844) 438-7577
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winakor, Andrew
Phone: (516) 807-9324

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Home Modifications 171WH0202X
Other Service Providers / Vehicle Modifications 171WV0202X
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1699182212
LBN Legal business name Evolve Emod Llc
DBA Doing business as
Authorized official Winakor, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Apr 24th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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