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Active NPI 1992355911 Organization (Entity Type 2)

Evolution Support Services, Llc

Community/Behavioral Health • Felton, CA

About Evolution Support Services, Llc NPI 1992355911 Summary

Evolution Support Services, Llc is a verified healthcare organization specializing in Community/Behavioral Health operating in Felton, CA. Located at 9344 E ZAYANTE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1992355911.

Administrative operations and authorized compliance are overseen by Scott Beesley (President).

Facility Location & Contact Primary Location

Facility Address

9344 E Zayante Rd

Felton, CA 950189017

Telephone 8317137869

Authorized Official Information

Authorized Contact Name

MR. Scott Beesley

Title / Role

President

Official Telephone

8317137869

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 12, 2019

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2019

Registered at 9344 E ZAYANTE RD, FELTON, CA 950189017 (Tel: 8317137869)

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Updated Business Mailing Address September 12, 2019

Registered at PO BOX 657, SANTA CRUZ, CA 950610657 (Tel: 8317137869)

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Organization / Clinic Name Updated September 12, 2019

Operating as EVOLUTION SUPPORT SERVICES, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Community/Behavioral Health

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Initial NPI Registration & Enumeration September 12, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1992355911

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: September 12, 2019

Last Update: September 12, 2019

Update or Correct Listing

Mailing Address

Po Box 657

Santa Cruz, CA 950610657

Phone: 8317137869

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.