EVANS HEALTH CARE
NPI 1275802910
Skilled Nursing Facility in Fort Myers, FL

NPI Status: Active since December 27, 2011

Contact Information

3735 EVANS AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 277-3977
Fax: (239) 277-1955

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 10D0951305
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 09-15-2026

About EVANS HEALTH CARE

This page provides the complete NPI Profile along with additional information for Evans Health Care, a provider established in Fort Myers, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275802910 assigned on December 2011. The practitioner's primary taxonomy code is 314000000X with license number SNF130470992 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Evans Health Care. The authorized official of this NPI record is Kenneth Ussery (Vp)

NPI
1275802910
Provider Legal Name
3735 EVANS AVENUE OPERATIONS LLC
Other Organization Name
EVANS HEALTH CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3735 EVANS AVE FORT MYERS, FL 33901
Location Phone
(239) 277-3977
Location Fax
(239) 277-1955
Mailing Address
3735 EVANS AVE FORT MYERS, FL 33901
Mailing Phone
(239) 277-3977
Mailing Fax
(239) 277-1955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2011
Last Update Date
11-27-2023
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF130470992
License State
FL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KENNETH USSERY

Authorized Official Title
VP
Authorized Official Phone
(407) 571-1550

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
005987300MEDICAID (05)FL 

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
10D0951305
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 16, 2024
Certificate Expiration Date
September 15, 2026
Laboratory Director
EDWIN SHOMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evans Health Care 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.

Reviews for EVANS HEALTH CARE

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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.
1275802910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145160492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 0 + 4 + 9 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275802910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811268972MR. ROBERT GEORGE ANTHONY LAING
Individual
Physical Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1235400300MRS. DEANNA MARIE PLATZ MA CCC/SLP
Individual
Speech-Language Pathologist3735 EVANS AVE
FORT MYERS, FL 33901
(239) 939-0657
1518238401 HELAYNE CARIDAD PONCE PTA
Individual
Physical Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1881965770MRS. SANDRA MERCEDES CAMP OTR/L
Individual
Occupational Therapist3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1962457333EVANS HEALTH CARE ASSOCIATES LLC
Organization
Skilled Nursing Facility3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1780001412 JUDITH ADKINSON
Individual
Occupational Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3211
1487047619 CASSANDRA WRIGHT
Individual
Skilled Nursing Facility3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3211
1699229575 SHARON STEVENS PTA
Individual
Physical Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1477081552 CHAD SCOTT MEHL
Individual
Physical Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(237) 277-3977
1316608920 LISA ELLEN HRABINSKI MA,CCC/SLP
Individual
Speech-Language Pathologist3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1306575519 MEGAN RENEE FULFORD
Individual
Physical Therapy Assistant3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1356824460 VICTORIA SCHAEFER
Individual
Physical Therapist3735 EVANS AVE
FORT MYERS, FL 33901
(856) 809-3500
1912689951EVANS AVENUE OPCO LLC
Organization
Skilled Nursing Facility3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977
1083507925 JOSIE TACKITT
Individual
Speech-Language Pathologist3735 EVANS AVE
FORT MYERS, FL 33901
(239) 277-3977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275802910, enumerated in the NPI registry as an "organization" on December 27, 2011

The provider is located at 3735 Evans Ave Fort Myers, Fl 33901 and the phone number is (239) 277-3977

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0951305 for a "skilled nursing facility/nursing facility" 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 December 27, 2011. 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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