EVOLVE RESIDENTIAL, LLC (NPI# 1801494984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494984 |
| Entity Type | Organization |
| Organization Name | EVOLVE RESIDENTIAL, LLC |
| Practice Address |
8315 Veterans Hwy Millersville MD 21108-1421 |
| Practice Telephone | 4104567404 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | SARA BURDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4104567404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| Street Address |
8315 VETERANS HWY |
| City | MILLERSVILLE |
| State | MD |
| Zip Code | 21108-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1154949816 | Rukiya Davis | Social Worker | Villa Maria Catholic Charities 1111 Benfield Blvd, Ste 200, Millersville, MD 21108 | 2020-07-09 |
| 1073175485 | Elaine Reed | Social Worker | 1111 Benfied Blvd Suite 104, Millersville, MD 21108 | 2019-07-05 |
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1336669563 | Ilene Abigail Gruber | Social Worker | 1114 Benefield Blvd, Suite G, Millersville, MD 21108 | 2017-06-20 |
| 1700338654 | Lisa Maholchic | Social Worker | 1114 Befield Blvd, Unit G, Millersville, MD 21108 | 2016-10-26 |
| 1174962658 | Christy Joy Shiloh | Specialist | 649 Old Mill Road, Millersville, MD 21108 | 2013-06-18 |
| 1396022406 | Christina Triantafilidis | Physical Therapist | 8638 Veterans Hwy Fl 1, Millersville, MD 21108 | 2011-11-03 |
| 1316253180 | Anuj Bhatnagar | Family Medicine | 8601 Veterans Hwy Ste 200, Millersville, MD 21108 | 2010-08-31 |
| Find all providers in zip 21108 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| 1447875216 | Unlimited Bounds Human Services LLC | Substance Abuse Rehabilitation Facility | 504 Beaumont Ave, Baltimore, MD 21212-4310 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSVILLE |
| Zip Code | 21108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.