NPIMap

Organization Active NPI

Eva Life Giver Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1003210873
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVA LIFE GIVER INC.
Practice address
4804 York Rd Ste 2
Baltimore, MD 21212-4401
Phone
(443) 873-8958
Fax
(443) 873-8959
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eva Devaughn, MS, CAC-AD
Title
Executive Director
Phone
(443) 271-8046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4804 York Rd Ste 2
Baltimore, MD 21212-4401

Mailing address

5003 Ardmore Way
Baltimore, MD 21206-5004
Phone (443) 271-8046

Other identifiers 1

IdentifierTypeStateIssuer
1699076562MedicaidMD

Other names 1

  • DeVaughn Intervention Teach and Treat Options Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devaughn Intervention Teach and Treat Options8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1003210873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 ARDMORE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065004",
            "telephone_number": "443-271-8046",
            "fax_number": "443-873-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 YORK RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124401",
            "telephone_number": "443-873-8958",
            "fax_number": "443-873-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA LIFE GIVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "DEVAUGHN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-271-8046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699076562",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.