MEDICARE: EVOLUTION HOME HEALTH CARE

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	:	1114879004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLUTION HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	3306 RIVER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-1131
Country	:	US
Telephone Number	:	513-839-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3306 RIVER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-1131
Country	:	US
Telephone Number	:	513-839-3900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAKESHA ANTIONETTE BRYER
Credential	:
Telephone Number	:	513-839-3900

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “EVOLUTION HOME HEALTH CARE ” Practice Location

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