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Contact Information

EVOLVE EMOD LLC
5965 S 900 E STE 255
SALT LAKE CITY, UT84121-1872
 Phone: 844-438-7577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Modifications

171WH0202X
 

Chore Provider

372500000X
 

Contractor

171W00000X
 

Emergency Response System Companies

333300000X A5 All Other Suppliers
 

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for EVOLVE EMOD LLC

NPI Number 1699182212
LBN Legal business name EVOLVE EMOD LLC
Authorized official ANDREW WINAKOR - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2014
Last updated 07/24/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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