EVOLVE RESIDENTIAL, LLC (NPI# 1124626296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124626296 |
| Entity Type | Organization |
| Organization Name | EVOLVE RESIDENTIAL, LLC |
| Practice Address |
390 Washington Ave Glen Burnie MD 21060-8712 |
| 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 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 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 |
390 WASHINGTON AVE |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21060-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821998 | Maria De Los Angeles Alvarez | Home Health Aide | 720 Rollings Lane, Glen Burnie, MD 21060 | 2020-01-28 |
| 1124676200 | Alliance Health Services, LLC | Home Health | 313 Dark Star Way, Glen Burnie, MD 21060 | 2019-08-30 |
| 1902376577 | Karen Marie Huyssoon | Speech-Language Pathologist | 1450 Furnace Avenue, Glen Burnie, MD 21060 | 2018-11-27 |
| 1962917864 | Chantal Tchoumba | Nurse Practitioner | 7704 Abrams Ln, Glen Burnie, MD 21060 | 2017-12-13 |
| 1710271028 | Anne Arundel County Dept. of Health | Clinic/Center | 600 East Ordnance Road, Glen Burnie, MD 21060 | 2011-06-03 |
| 1801124524 | Hope Chiropractic and Wellness | Chiropractor | 7517 Calais Way, Glen Burnie, MD 21060 | 2009-11-19 |
| 1669680534 | Sally Elizabeth Engel Poling | Occupational Therapist | 200 Scott Avenue, Glen Burnie, MD 21060 | 2007-05-21 |
| 1891851754 | Amy E Recce | Chiropractor | 7231 B Ritchie Hwy, Glen Burnie, MD 21060 | 2006-12-28 |
| 1386700243 | Amy & Anthony Recce Dc Pa | Chiropractor | 7231 B Ritchie Highway, Glen Burnie, MD 21060 | 2006-12-28 |
| 1306924386 | Marcus Lavelle Meadows | Optometrist | 6721 Chesapeake Center Drive, Glen Burnie, MD 21060 | 2006-11-01 |
| Find all providers in zip 21060 | ||||
| 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 |
| 1245568757 | Alcohol and Drug Intervention, Inc | Substance Abuse Rehabilitation Facility | 7458 Baltimore Annapolis Blvd, 2nd Floor, Glen Burnie, MD 21061-3541 | 2009-11-20 |
| 1790277085 | Health & Wellness Outpatient Treatment Services, LLC | Substance Abuse Rehabilitation Facility | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061 | 2018-06-01 |
| 1346747029 | Second Chance Recovery House LLC | Substance Abuse Rehabilitation Facility | 1410 Crain Hwy N Ste 5b, Glen Burnie, MD 21061-9304 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 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 |
| 1417577966 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 928 W Franklin St, Baltimore, MD 21223-1337 | 2020-04-24 |
| 1912527722 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 533 Chateau Ave, Baltimore, MD 21212-4306 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21060 |
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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.