MEDICARE: EVELORA HOME CARE SERVICES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1568312403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVELORA HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	9550 ELLA LEE LN APT 116
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1233
Country	:	US
Telephone Number	:	281-236-6014
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 ELLA LEE LN APT 116
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1233
Country	:	US
Telephone Number	:	281-236-6014
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL MELACK
Credential	:
Telephone Number	:	281-236-6014

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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