Provider Demographics
NPI:1992594428
Name:EVWORTHY
Entity type:Organization
Organization Name:EVWORTHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNGYEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-617-9175
Mailing Address - Street 1:1019 MALACHI DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8819
Mailing Address - Country:US
Mailing Address - Phone:859-316-6336
Mailing Address - Fax:
Practice Address - Street 1:1019 MALACHI DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8819
Practice Address - Country:US
Practice Address - Phone:859-316-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health