NPI 1710640388 · live from the CMS NPI Registry
Evolve Early Intervention
Home Health in Henderson, KY. National Provider Identifier 1710640388, active.
NPI record
| NPI | 1710640388 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 2480h Us 41 N Ste 80, Henderson, KY 42420 |
| Practice phone | 812-228-6896 |
| Mailing address | 4101 Rodenberg Ave, Evansville, IN 47720 |
| Enumerated | October 20, 2021 |
| Last updated | November 4, 2021 |
| Authorized official | Kasie Ballard, Owner/Occupational Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | — |
| Developmental Therapist | 222Q00000X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.