NPIMap

Organization Active NPI

Eva Life Giver Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1699076562
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
906059 Issued in MD
Legal business name
EVA LIFE GIVER INC.
Practice address
4804 York Road, Suite 2
Baltimore, MD 21212
Phone
(443) 873-8958
Fax
(443) 873-8959
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Eva G. Devaughn, MS, CA-AD
Title
Ceo
Phone
(443) 271-8046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 903993 MD
Community/Behavioral Health Agency 251S00000X 906059 MD Primary

Addresses

Primary practice location

4804 York Road, Suite 2
Baltimore, MD 21212

Mailing address

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

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699076562",
    "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": "21206",
            "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 ROAD, SUITE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "443-873-8958",
            "fax_number": "443-873-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA LIFE GIVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-07-21",
        "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, CA-AD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "903993",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "906059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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 Jul 21, 2022; 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.