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EVELYN'S HOME ASSISTED LIVING LLC
NPI 1104313790
Assisted Living Facility in Orlando, FL

Active since April 18, 2018
2119 BEACON LANDING CIR, ORLANDO, FL 32824(407) 497-1243(407) 888-9121 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Apr 18, 2018 (2 updates tracked since 2018).

About Evelyn's Home Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN'S HOME ASSISTED LIVING LLC (NPI 1104313790) is a healthcare organization registered as an assisted living facility in Orlando, Florida and active in the NPI registry since April 2018. The organization lists Florence Woberaere Ejiowhor, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1104313790
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVELYN'S HOME ASSISTED LIVING LLC
Location Address2119 BEACON LANDING CIROrlando, FL 32824-4374
Mailing Address2119 Beacon Landing CirOrlando, FL 32824-4374 · (407) 497-1243 · Fax (407) 888-9121
Phone(407) 497-1243
Fax(407) 888-9121
Organization SubpartNo
Authorized OfficialFlorence Woberaere EjiowhorOwner/administrator · (407) 497-1243
Enumeration DateApril 18, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1104313790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL13064
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2119 BEACON LANDING CIR, Orlando, FL 32824
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Other Identifiers 2

Medicaid022295400FL
Other1396255139Npi

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARCIA MILLER
Home Health Aide
2119 BEACON LANDING CIR
ORLANDO, FL 32824
Orange County (407) 985-3255
FLORENCE WOBERAERE EJIOWHOR RN, ADMINISTRATOR
Registered Nurse
2119 BEACON LANDING CIR
ORLANDO, FL 32824
Orange County (407) 497-1243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn's Home Assisted Living LLC's NPI number?

The NPI number for Evelyn's Home Assisted Living LLC is 1104313790. It was assigned to this organization in the NPPES registry on April 18, 2018.

Where is Evelyn's Home Assisted Living LLC located?

Evelyn's Home Assisted Living LLC is located at 2119 Beacon Landing Cir, Orlando, FL 32824. The listed phone number is (407) 497-1243.

What is Evelyn's Home Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Evelyn's Home Assisted Living LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.