Healthcare Provider Details

I. General information

NPI: 1497671861
Provider Name (Legal Business Name): TAMEKA EVANS
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: TMKA SNAVE

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22561 TRILLIUM CT
COLUMBIA STATION OH
44028-9902
US

IV. Provider business mailing address

22561 TRILLIUM CT
COLUMBIA STATION OH
44028-9902
US

V. Phone/Fax

Practice location:
  • Phone: 216-313-5374
  • Fax:
Mailing address:
  • Phone: 216-313-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: