Healthcare Provider Details

I. General information

NPI: 1477492031
Provider Name (Legal Business Name): EVAN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MIRANDA LN STE 127
KISSIMMEE FL
34741-0771
US

IV. Provider business mailing address

1101 MIRANDA LN STE 127
KISSIMMEE FL
34741-0771
US

V. Phone/Fax

Practice location:
  • Phone: 321-300-9077
  • Fax: 321-291-5124
Mailing address:
  • Phone: 321-300-9077
  • Fax: 321-291-5124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VADIA ESTEVEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-370-6557