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EVOLVE LIFE CENTERS IOP LLC
NPI 1124735717
Clinic/Center - Rehabilitation, Substance Use Disorder in Pasadena, MD

Active since November 02, 2022CLIA Certified · 2 labs
4231 POSTAL CT STE 201, PASADENA, MD 21122(443) 548-3733(410) 360-1675 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2023, Mar 24, 2023, Jan 30, 2023 and 2 more (5 updates tracked since 2022).

About Evolve Life Centers Iop Llc NPPES

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

EVOLVE LIFE CENTERS IOP LLC (NPI 1124735717) is a healthcare organization registered as a rehabilitation, substance use disorder in Pasadena, Maryland and active in the NPI registry since November 2022. The organization holds 2 active CLIA laboratory certificates and lists Jessie Costley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124735717
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEVOLVE LIFE CENTERS IOP LLC
Location Address4231 POSTAL CT STE 201Pasadena, MD 21122-4474
Mailing Address2528 Mountain Rd Ste 204Pasadena, MD 21122-7204 · (443) 548-3733 · Fax (410) 360-1675
Phone(443) 548-3733
Fax(410) 360-1675
Organization SubpartYesParent: Evolve Life Centers Iop, Llc
Authorized OfficialJessie CostleyAdministrator · (443) 548-3733
Enumeration DateNovember 2, 2022
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1124735717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4231 POSTAL CT STE 201, Pasadena, MD 21122
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Other Identifiers 1

Medicaid200319801MD

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2146177

Evolve Life Centers Iop, LLC · Pasadena, MD
Active · expires Mar 22, 2028
CLIA Number21D2146177
Laboratory TypeIop Substance Abuse
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorOluwatoyin Adekeye
Laboratory Phone(443) 548-3733
Laboratory LocationEvolve Life Centers Iop, LLC2528 Mountain Road Suite 204, Pasadena, MD 21122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2280777

Evolve Life Centers Iop, LLC · Pasadena, MD
Active · expires Apr 25, 2027
CLIA Number21D2280777
Laboratory TypeOutpatient Sud Facility
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorOluwatoyin H. Adekeye
Laboratory Phone(443) 548-3733
Laboratory LocationEvolve Life Centers Iop, LLC4231 Postal Ct #201, Pasadena, MD 21122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN HUME
Counselor (Addiction (Substance Use Disorder))
4231 POSTAL CT STE 201
PASADENA, MD 21122
Anne Arundel County (410) 255-4475

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 Life Centers Iop LLC's NPI number?

The NPI number for Evolve Life Centers Iop LLC is 1124735717. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Evolve Life Centers Iop LLC located?

Evolve Life Centers Iop LLC is located at 4231 Postal Ct Ste 201, Pasadena, MD 21122. The listed phone number is (443) 548-3733.

What is Evolve Life Centers Iop LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Evolve Life Centers Iop LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Evolve Life Centers Iop LLC was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.