MEDICARE: EVOLUTION CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174237440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLUTION CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	9710 STIRLING RD STE 108A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8018
Country	:	US
Telephone Number	:	305-639-8373
Fax Number	:	786-400-2004

Provider Business Practice Location Address
First Line	:	9710 STIRLING RD STE 108
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8018
Country	:	US
Telephone Number	:	786-486-9692
Fax Number	:	786-400-2004

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	PATRICIA RODRIGUEZ
Credential	:
Telephone Number	:	786-486-9692

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	12/06/2023

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Directions to “EVOLUTION CARE SERVICES LLC ” Practice Location

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