RANDALL MONTEAL EVANS — NPI 1679009468 (CMS-Certified Home Health Care & Skilled Nursing Agency in FERGUSON, MO)

CMS-1500 Box 24J / 33a • NPI

1679009468

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

374U00000X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

226 BRUCE AVE, FERGUSON, MO, 63135-2704

✓ 9-Digit EDI 837 ZIP+4 (63135-2704)

Practice Phone & Referral Fax

(314) 372-5011

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679009468 (RANDALL MONTEAL EVANS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1679009468` (NPI-1 Individual Practitioner)
Provider / Legal Name	RANDALL MONTEAL EVANS
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `374U00000X` (Home Health Aide)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	226 BRUCE AVE, FERGUSON, MO, 63135-2704
Practice Telephone / Fax	Tel: (314) 372-5011
Administrative Mailing Address	226 BRUCE AVE, FERGUSON, MO, 63135-2704
Enumeration & Last Sync	Enumerated: 2017-05-11 \| CMS Record Updated: 2017-05-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

226 BRUCE AVE, FERGUSON, MO, 63135-2704

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Plain-English Taxonomy & CMS Crosswalk (374U00000X)

What Does Taxonomy Code 374U00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374U00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RANDALL MONTEAL EVANS)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`372500000X` — Chore Provider Plain English: Licensed & Credentialed Chore Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`372600000X` — Adult Companion Plain English: Licensed & Credentialed Adult Companion	State: N/A \| License: `Verified` \| Primary: Secondary
`374T00000X` — Religious Nonmedical Nursing Personnel Plain English: Licensed & Credentialed Religious Nonmedical Nursing Personnel	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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RANDALL MONTEAL EVANS (NPI #1679009468)