Individual provider · Type 1 NPI

Evelyn Phams, CNA

Adult Care Home Facility · Ellenwood, GA

NPI number 1013826569 Active

Practice location

327 Panola Rd
Ellenwood, GA 30294-3134

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

About NPI 1013826569

Evelyn Phams, CNA's National Provider Identifier is 1013826569, issued on Sep 2, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ellenwood, GA. The record was last updated on Sep 2, 2026.