OrganizationActive
Evolving Lives, Inc
NPI 1205588423 · Multi-Specialty Clinic/Center · Homestead, FL
Provider details
- NPI number
- 1205588423
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khristopher Lucin-Caceres, Program Director(786) 830-8171
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24601 Packinghouse Rd Unit 2
Homestead, FL 33032-3807
Phone: (786) 830-8171
Street-level locationGet directions
Mailing address
24601 Packinghouse Rd Unit 2
Homestead, FL 33032-3807
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.