EVA LIFE GIVER INC. (NPI# 1801345277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801345277 |
| Entity Type | Organization |
| Organization Name | EVA LIFE GIVER INC. |
| Other Organization Name | DEVAUGHN INTERVENTION TEACH AND TREAT OPTIONS |
| Practice Address |
8035 Harford Rd Ste C Parkville MD 21234-5848 |
| Mailing Address |
5003 Ardmore Way Baltimore Baltimore MD 21206-5004 |
| Practice Telephone | 4106610800 |
| Practice Fax Number | 4106650400 |
| Mailing Telephone | 4432718046 |
| Mailing Fax Number | 4438738959 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MS. EVA G. DEVAUGHN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4432718046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
906059 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1699076562 | 05 | |
| MD | 1447619507 | 05 |
| Other Name | Type Code |
|---|---|
| DeVaughn Intervention Teach and Treat Options | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003210873 | Eva Life Giver Inc. | Community/Behavioral Health | 4804 York Rd Ste 2, Baltimore, MD 21212-4401 | 2014-10-22 |
| 1699076562 | Eva Life Giver Inc. | Community/Behavioral Health | 4804 York Road, Suite 2, Baltimore, MD 21212 | 2010-11-09 |
| 1831622315 | Eva Life Giver Inc. | Counselor | 4804 York Rd Ste 2, Baltimore, MD 21212-4401 | 2017-04-11 |
| 1093248577 | Eva Life Giver Inc. | Counselor | 8035 Harford Rd, Suite C, Parkville, MD 21234-5848 | 2017-04-11 |
| 1447619507 | Eva Life Giver Inc. | Clinic/Center | 8035 Harford Rd, Suite A, Baltimore, MD 21234-5848 | 2016-02-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVA LIFE GIVER INC. | 5003 Ardmore Way, Baltimore, MD 21206-5004 |
| Street Address |
8035 HARFORD RD STE C |
| City | PARKVILLE |
| State | MD |
| Zip Code | 21234-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1336751346 | Peace Healthcare Inc | Clinic/Center | 8116 Harford Rd Ste B, Parkville, MD 21234-5761 | 2020-08-20 |
| 1952944662 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1689217390 | Center for Creative Values Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1487297180 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
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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.