Evolutions Treatment Center – Substance Abuse Rehabilitation Facility, NPI 1750718714

Evolutions Treatment Center is a healthcare provider. based in Miami, Florida. specializing in Substance Abuse Rehabilitation Facility. The organization holds a License No. 1706AD153701 (FL). The NPI Number for Evolutions Treatment Center is 1750718714

Main info

Organization
Name
Evolutions Treatment Center
NPI
1750718714
Phone
(954) 915-7444
Address
16565 NE 4th Ave
Authorized Official
MR. GEDALE FENSTER CEO
Enumeration Date
3 October 2013
Last Update Date
13 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Evolutions Treatment Center

  • 16565 NE 4th Ave

    Miami, FL 331623511

    Phone: (954) 915-7444

    Type: Location

  • 2901 W CYPRESS CREEK RD STE 123

    FORT LAUDERDALE, FL 333091732

    Phone: (954) 915-7444

    Fax: (954) 206-0372

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20241218001709OOpioid Treatment Program (Otp)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33162)

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Reviews

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Frequently asked questions

Is Evolutions Treatment Center listed with a National Provider Identifier?
Yes — Evolutions Treatment Center has NPI 1750718714 on file in the registry.
Is Evolutions Treatment Center still an active registrant?
Evolutions Treatment Center carries an active NPI according to the public dataset.
What kind of doctor is Evolutions Treatment Center?
Evolutions Treatment Center is associated with Substance Abuse Rehabilitation Facility in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Evolutions Treatment Center registered?
Use Miami, Florida as the headline location for Evolutions Treatment Center here.
Can I trust this NPI listing for Evolutions Treatment Center?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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