EVOLUTION WELLNESS CENTER INC
NPI 1154183945
Community/Behavioral Health in Miami Lakes, FL

NPI Status: Active since January 26, 2024

Contact Information

14750 NW 77TH CT STE 206
MIAMI LAKES, FL
ZIP 33016
Phone: (786) 238-7959

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 10D2257902
  • CLIA Cert. Type: Other - CLINICAL RESEARCH
  • CLIA Exp. Date: 04-12-2026

About EVOLUTION WELLNESS CENTER INC

This page provides the complete NPI Profile along with additional information for Evolution Wellness Center Inc, a provider established in Miami Lakes, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1154183945 assigned on January 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Rey Bermudez (Owner)

NPI
1154183945
Provider Name
EVOLUTION WELLNESS CENTER INC
Entity Type
Organization
Location Address
14750 NW 77TH CT STE 206 MIAMI LAKES, FL 33016
Location Phone
(786) 238-7959
Mailing Address
561 NW 182ND WAY PEMBROKE PINES, FL 33029
Mailing Phone
(786) 797-1452
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2024
Last Update Date
04-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REY BERMUDEZ

Authorized Official Title
OWNER
Authorized Official Phone
(786) 797-1452

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2257902
Facility Type
Other - CLINICAL RESEARCH
Certificate Effective Date
April 13, 2024
Certificate Expiration Date
April 12, 2026
Laboratory Director
LAURA R. FUMERO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evolution Wellness Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154183945
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110428698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 8 + 6 + 9 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154183945 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154183945, enumerated in the NPI registry as an "organization" on January 26, 2024

The provider is located at 14750 Nw 77th Ct Ste 206 Miami Lakes, Fl 33016 and the phone number is (786) 238-7959

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 10D2257902 for a "other - clinical research" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 26, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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