MEDICARE: EVELYN'S ADULT SOCIAL DAY 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1922950401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVELYN'S ADULT SOCIAL DAY CARE

Provider Business Mailing Address
First Line	:	1603 S LAKEVIEW AVE
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6720
Country	:	US
Telephone Number	:	352-782-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1603 S LAKEVIEW AVE
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6720
Country	:	US
Telephone Number	:	352-782-1600
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. EVELYN MARGARITA ROMAN-SANTOS
Credential	:	MSW
Telephone Number	:	352-782-1600

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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