NPIMap

Organization Active NPI

Evolve Life Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Pasadena, MD
National Provider Identifier
1144868449
Registry record updated Dec 20, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EVOLVE LIFE CENTERS LLC
Practice address
2528 Mountain Rd Ste 204
Pasadena, MD 21122-7204
Phone
(443) 548-3733
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Sara Burden
Title
Ceo
Phone
(443) 548-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2528 Mountain Rd Ste 204
Pasadena, MD 21122-7204

Mailing address

2528 Mountain Rd Ste 204
Pasadena, MD 21122-7204
Phone (443) 548-3733

Other names 1

  • EVOLVE LIFE CENTERS Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.EVOLVELIFECENTERS.COM Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1144868449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227204",
            "telephone_number": "443-548-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227204",
            "telephone_number": "443-548-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE LIFE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-548-3733"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.EVOLVELIFECENTERS.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2528 Mountain Rd Ste 204",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211227204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EVOLVE LIFE CENTERS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.