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EVOLVE RESIDENTIAL LLC
NPI 1043957137
Substance Abuse Rehabilitation Facility in Glen Burnie, MD

Active since May 19, 2022
6305 CAROLINA AVE, GLEN BURNIE, MD 21061(443) 548-3733 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2025, May 19, 2022 (2 updates tracked since 2022).

About Evolve Residential Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLVE RESIDENTIAL LLC (NPI 1043957137) is a healthcare organization registered as a substance abuse rehabilitation facility in Glen Burnie, Maryland and active in the NPI registry since May 2022. The organization lists Jessie Costley, Licensing & Credentialing Specialis, as its authorized official.

NPPES Registry Identity

NPI1043957137
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEVOLVE RESIDENTIAL LLC
Location Address6305 CAROLINA AVEGlen Burnie, MD 21061-1601
Mailing Address2528 Mountain Rd Ste 204Pasadena, MD 21122-7204 · (443) 548-3733
Phone(443) 548-3733
Organization SubpartYes
Authorized OfficialJessie CostleyLicensing & Credentialing Specialis · (443) 548-3733
Enumeration DateMay 19, 2022
Last NPPES UpdateJuly 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1043957137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6305 CAROLINA AVE, Glen Burnie, MD 21061
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolve Residential LLC's NPI number?

The NPI number for Evolve Residential LLC is 1043957137. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Evolve Residential LLC located?

Evolve Residential LLC is located at 6305 Carolina Ave, Glen Burnie, MD 21061. The listed phone number is (443) 548-3733.

What is Evolve Residential LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Evolve Residential LLC was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.