CHARLES W EVANS (NPI# 1184781197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184781197 |
| Entity Type | Individual |
| Full Name | CHARLES W EVANS |
| Credential | FOSTER PARENT |
| Practice Address |
10786 E 39th St Yuma AZ 85365-7047 |
| Practice Telephone | 9285395379 |
| Mailing Telephone | 9285395379 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
5726 | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964769 | Charles Wilson Evans | Massage Therapist | 14828 N 32nd Dr, Phoenix, AZ 85053-4703 | 2019-04-17 |
| 1679988091 | Charles Ted Evans | Specialist/Technologist | 1301 Pleasant Valley Rd # 500, Owensboro, KY 42303-9774 | 2014-06-24 |
| 1003185851 | Charles Milton Evans | Orthopaedic Surgery | 1035 Ridge Ave, Ephrata, PA 17522-8417 | 2011-12-23 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1649313453 | Charles L Evans | Dentist | 2140 W Saint Paul Ave Ste A, Waukesha, WI 53188-5905 | 2007-02-14 |
| 1578623674 | Charles Eubie Evans Jr. | Pharmacist | 141 Marginal St, Cooleemee, NC 27014 | 2006-12-11 |
| 1568410066 | Charles B Evans | Neuromusculoskeletal Medicine, Sports Medicine | 2828b Maplewood Ave, Winston Salem, NC 27103-4138 | 2006-05-05 |
| 1255334538 | Charles Alexander Evans | Family Medicine | 203 Christie St., Lufkin, TX 75904 | 2005-05-31 |
| 1578011755 | Charles Evans | Case Manager/Care Coordinator | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-09-15 |
| 1316334899 | Charles Evans | Psychiatry & Neurology | 3500 S Lafountain St, Kokomo, IN 46902 | 2015-04-22 |
| Street Address |
10786 E 39TH ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85365-7047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369730 | Green Mountain Wellness | Acupuncturist | 1059 N College Avenue, Po, Thatcher, AZ 85365 | 2020-09-03 |
| 1326695545 | Lifecare Pharmacy Yuma LLC | Pharmacy | 2514 South Ave A, Suite 2, Yuma, AZ 85365 | 2019-08-22 |
| 1205492162 | Deborah Woodard-williams | Dentist | Arizona State Prison Complex-yuma, 7125 Juan Sanchez Blvd, Yuma, AZ 85365 | 2019-05-16 |
| 1467973974 | Alejandra Ruiz Pureco | Specialist/Technologist | 4039 Scedar Avenue, Yuma, AZ 85365 | 2017-07-06 |
| 1003298571 | Evan Jonathan Wilson | Military Health Care Provider | 2989 East Arow St, Yuma, AZ 85365 | 2015-06-22 |
| 1578901385 | Robert Field | General Practice | Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 | 2013-06-13 |
| 1821381286 | Jason T. Lemmon Dds, P.C. | Dentist | 3325 S. Ave 8.e., Suite 4, Yuma, AZ 85365 | 2011-05-18 |
| 1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
| 1871752352 | Jason Thomas Lemmon | Dentist | 3325 S. Ave 8e, Suite 4, Yuma, AZ 85365 | 2008-06-09 |
| 1619149143 | Amber Grace Tagg | Occupational Therapist | 10067 South Ave., 10e #46, Yuma, AZ 85365 | 2008-03-25 |
| Find all providers in zip 85365 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586128 | Sara Zermeno | Respite Care | 12734 E 44th Dr, Yuma, AZ 85367-4734 | 2019-09-04 |
| 1447792304 | Maria G Ahmed | Respite Care | 134 W 22nd St, Yuma, AZ 85364-6521 | 2016-11-09 |
| 1790131654 | Braulia Arleth Alejandrina Medina | Respite Care | 2254 W Brook St, Yuma, AZ 85364-4564 | 2016-05-10 |
| 1649643065 | Zarephath Inc. | Respite Care | 11680 E 36th St, Yuma, AZ 85367-4984 | 2015-11-06 |
| 1811363476 | Alfonso Solis Jr. | Respite Care | 750 S 15th Ave # Apmt7d, Yuma, AZ 85364-2845 | 2015-08-18 |
| 1790948875 | Angela Stroh-grizzle | Respite Care | 14627 S Verde Ave, Yuma, AZ 85365-9336 | 2008-07-08 |
| 1336306661 | Elizabeth Ann Henley | Respite Care | 2755 S 4th Ave, Bldg 3 Ste 104, Yuma, AZ 85364-7236 | 2008-05-22 |
| 1518137132 | Veronica Alford | Respite Care | 500 E 26th Pl, Yuma, AZ 85365-2824 | 2008-03-11 |
| 1427231141 | Carl Franklin Nevels IIi | Respite Care | 1487 W 4th St, Yuma, AZ 85364-1919 | 2007-12-17 |
| 1831378660 | Nadia Vernice Nevels | Respite Care | 833 S Ave A, # 31, Yuma, AZ 85364-3768 | 2007-10-29 |
| Find all providers in YUMA | ||||
Please comment or provide details below to improve the information on CHARLES W EVANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.