Eva Life Giver Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EVA LIFE GIVER INC.

Doing business as

DeVaughn Intervention Teach and Treat Options (DITTO)

Practice address

1528 Country Ridge LN Ste a
Essex, MD 21221-3906

Phone

(443) 271-8046

Fax

(443) 873-8949

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Eva G Devaughn, MS, CAC-AD

Title

Ceo

Phone

(443) 271-8046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DeVaughn Intervention Teach and Treat Options (DITTO) Doing business as

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.

• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1003210873
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Mental Health Counselor
  • Essex, MD
  • NPI 1093248577
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
  • NPI 1619694346
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
  • NPI 1639980881
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1699076562
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Essex, MD
  • NPI 1801345277
  NPD tax ID
• Eva Life Giver Inc.

  dba DeVaughn Intervention Teach and Treat Options

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1831622315
  NPD tax ID

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1447619507",
    "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": "1528 COUNTRY RIDGE LN STE A",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "443-271-8046",
            "fax_number": "443-873-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA LIFE GIVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "DEVAUGHN",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-271-8046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570127900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options (DITTO)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options (DITTO)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eva Life Giver Inc. (DeVaughn Intervention Teach and Treat Options)
• Eva Life Giver Inc. (DeVaughn Intervention Teach and Treat Options)
• Evision Medical Adult Day Center Corporation
• Adedayo Augustine Faponle
• Favored Angels Inc
• Michelle Lynn Ferrin, CRNP-PMH

• Substance Use Disorder Rehabilitation Clinic/Center in Essex, MD
• Providers in Essex, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.