1649720897 NPI number — EVA CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649720897 NPI number — EVA CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EVA CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649720897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10470 QUEENS BLVD STE 503
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOREST HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11375-3694
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-896-2218
Provider Business Mailing Address Fax Number:
929-575-4973

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10470 QUEENS BLVD STE 503
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375-3694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-896-2218
Provider Business Practice Location Address Fax Number:
929-575-4973
Provider Enumeration Date:
10/12/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZHANG
Authorized Official First Name:
YIJIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-896-2218

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)