Provider Demographics
NPI:1841013646
Name:EVANS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:EVANS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKWUDI
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHUKWURAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:202-680-0250
Mailing Address - Street 1:6080 SOUTH MIL MAR CIRCLE
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747
Mailing Address - Country:US
Mailing Address - Phone:202-680-0250
Mailing Address - Fax:800-948-9107
Practice Address - Street 1:13244 EXECUTIVE PARK TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2640
Practice Address - Country:US
Practice Address - Phone:202-680-0250
Practice Address - Fax:800-948-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health