Evolve Life Centers Iop LLC
Evolve Life Centers Iop LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Pasadena, MD, holding Type 2 (organization) NPI 1124735717 since 2022. The authorized official on file is Jessie Costley, Administrator.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1124735717 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evolve Life Centers Iop LLC |
| Parent organization | Evolve Life Centers Iop, LLC |
| Practice address | 4231 POSTAL CT STE 201, Pasadena, MD, 21122 |
| Phone | 4435483733 |
| Fax | 4103601675 |
| Enumeration date | 2022-11-02 |
| Last updated in NPPES | 2023-06-06 |
Authorized official
| Name | Jessie Costley |
|---|---|
| Title | Administrator |
| Phone | 4435483733 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200319801 | Medicaid | MD | — |
Copy-ready billing details
Provider: Evolve Life Centers Iop LLC NPI: 1124735717 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 4231 POSTAL CT STE 201, Pasadena, MD, 21122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750038998 | Erin Hume | Individual | Addiction (Substance Use Disorder) Counselor | Pasadena, MD |
Verify this record
Cross-check NPI 1124735717 against the authoritative CMS record: view Evolve Life Centers Iop LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Evolve Life Centers Iop LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-06-06.