MEDICARE: EVOLV HEALTH LLC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1225991227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLV HEALTH LLC

Provider Business Mailing Address
First Line	:	700 S ROSEMARY AVE STE 204-A14
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6313
Country	:	US
Telephone Number	:	800-868-0506
Fax Number	:	800-868-0506

Provider Business Practice Location Address
First Line	:	700 S ROSEMARY AVE STE 204-A14
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6313
Country	:	US
Telephone Number	:	800-868-0506
Fax Number	:	800-868-0506

Authorized Official
Title or Position	:	CEO
Name	:	SEAN PATRICK LANE
Credential	:
Telephone Number	:	754-264-6845

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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