MEDICARE: EVAS HOME HEALTH 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER	OK	PRIVATE DUTY HOME HEALTH

General Provider Information

NPI Number	:	1497471049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVAS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1908 NE 26TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-3304
Country	:	US
Telephone Number	:	405-400-5958
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 NE 26TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-3304
Country	:	US
Telephone Number	:	405-400-5958
Fax Number	:

Authorized Official
Title or Position	:	CNA /CMA
Name	:	MS. NORTESHIA HARMON
Credential	:
Telephone Number	:	405-405-5958

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	10/17/2022

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Directions to “EVAS HOME HEALTH LLC ” Practice Location

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