Provider Demographics
NPI:1225991227
Name:EVOLV HEALTH LLC
Entity type:Organization
Organization Name:EVOLV HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-264-6845
Mailing Address - Street 1:700 S ROSEMARY AVE STE 204-A14
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6313
Mailing Address - Country:US
Mailing Address - Phone:800-868-0506
Mailing Address - Fax:800-868-0506
Practice Address - Street 1:700 S ROSEMARY AVE STE 204-A14
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6313
Practice Address - Country:US
Practice Address - Phone:800-868-0506
Practice Address - Fax:800-868-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management