MEDICARE: EVANS CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043036130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVANS CARE, LLC

Provider Business Mailing Address
First Line	:	2321 ENERGY DR STE 200
Second Line	:	OFFICE 269
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9173
Country	:	US
Telephone Number	:	614-517-8926
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 ENERGY DRIVE STE 200
Second Line	:	OFFICE 269
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9173
Country	:	US
Telephone Number	:	614-517-8926
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	ROY ARTRELL EVANS
Credential	:
Telephone Number	:	614-517-8926

Provider Enumeration Date	:	11/23/2024
Last Update Date	:	01/15/2026

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