Evolve Life Centers Iop Llc
LBN: Evolve Life Centers Iop Llc
Evolve Life Centers Iop Llc is an health care organization with primary practice located at 2528 Mountain Rd Suite 102-103 And 201-204, Pasadena MD 21122-7203. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Evolve Life Centers Iop Llc can be contacted via phone (443) 548-3733, or through Costley, Jessie via phone (443) 548-3733.
Contact Information
Primary practice address
2528 Mountain Rd Suite 102-103 And 201-204
Pasadena MD 21122-7203
Phone: (443) 548-3733
Fax: (410) 360-1675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1851838643 |
|---|---|
| LBN Legal business name | Evolve Life Centers Iop Llc |
| DBA Doing business as | |
| Authorized official | Costley, Jessie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2017 |
| Last updated | Jun 14th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851838643 | NPPES |
| Maryland | MEDICAID | 200319800 |
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