Healthcare Provider Details

I. General information

NPI: 1942869458
Provider Name (Legal Business Name): EVES OUTREACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2019
Last Update Date: 06/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5227 EAGLE CREEK DR
CHARLOTTE NC
28269-1575
US

IV. Provider business mailing address

5227 EAGLE CREEK DR
CHARLOTTE NC
28269-1575
US

V. Phone/Fax

Practice location:
  • Phone: 704-727-5507
  • Fax:
Mailing address:
  • Phone: 704-727-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: YVONNE EVINS SAUNDERS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 704-724-6272