4 EVERGREEN RECOVERY HOMES AND SERVICES
NPI 1831905348
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since December 09, 2024
3210 VICKERS RD, BALTIMORE, MD 21216(443) 924-3754 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 4 Evergreen Recovery Homes And Services NPPES

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

4 EVERGREEN RECOVERY HOMES AND SERVICES (NPI 1831905348) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since December 2024. The organization lists Coblah Q Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1831905348
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name4 EVERGREEN RECOVERY HOMES AND SERVICES
Location Address3210 VICKERS RDBaltimore, MD 21216-1940
Mailing Address3210 Vickers RdBaltimore, MD 21216-1940 · (443) 924-3754
Organization SubpartNo
Authorized OfficialCoblah Q GreenOwner · (443) 908-5858
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
NPI 1831905348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

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.
Also ListedMealsTaxonomy 174200000X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
3210 VICKERS RD, Baltimore, MD 21216

Other Providers at the Same Location NPPES

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

Counselor
3210 VICKERS RD
BALTIMORE, MD 21216

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 4 Evergreen Recovery Homes And Services's NPI number?

The NPI number for 4 Evergreen Recovery Homes And Services is 1831905348. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is 4 Evergreen Recovery Homes And Services located?

4 Evergreen Recovery Homes And Services is located at 3210 Vickers Rd, Baltimore, MD 21216. The listed phone number is (443) 924-3754.

What is 4 Evergreen Recovery Homes And Services'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 4 Evergreen Recovery Homes And Services was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.