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EVOLVE RESIDENTIAL, LLC
NPI 1154964880
Substance Abuse Rehabilitation Facility in Pasadena, MD

Active since October 25, 2019
8003A LEELAND DR, PASADENA, MD 21122(410) 456-7404 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2025, Oct 25, 2019 (2 updates tracked since 2019).

About Evolve Residential, Llc NPPES

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

EVOLVE RESIDENTIAL, LLC (NPI 1154964880) is a healthcare organization registered as a substance abuse rehabilitation facility in Pasadena, Maryland and active in the NPI registry since October 2019. The organization lists Jessie Costley, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1154964880
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEVOLVE RESIDENTIAL, LLC
Location Address8003A LEELAND DRPasadena, MD 21122-2495
Mailing Address8003a Leeland DrPasadena, MD 21122-2495
Phone(410) 456-7404
Organization SubpartNo
Authorized OfficialJessie CostleyLicensing Specialist · (443) 548-3733
Enumeration DateOctober 25, 2019
Last NPPES UpdateJuly 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1154964880 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.
8003A LEELAND DR, Pasadena, MD 21122
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Other Identifiers 1

Medicaid907752901MD

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 1154964880. It was assigned to this organization in the NPPES registry on October 25, 2019.

Where is Evolve Residential, LLC located?

Evolve Residential, LLC is located at 8003A Leeland Dr, Pasadena, MD 21122. The listed phone number is (410) 456-7404.

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 12 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.