Provider Demographics
NPI:1215578174
Name:NEXT EVOLUTION HEALTHCARE INC
Entity type:Organization
Organization Name:NEXT EVOLUTION HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-570-2165
Mailing Address - Street 1:253 S MOUNT VERNON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4146
Mailing Address - Country:US
Mailing Address - Phone:724-201-1487
Mailing Address - Fax:
Practice Address - Street 1:253 S MOUNT VERNON AVE STE 300
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4146
Practice Address - Country:US
Practice Address - Phone:724-201-1487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care