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EVA LIFE GIVER INC. NPI 1003210873


NPI Information

NPI: 1003210873
Provider Name: EVA LIFE GIVER INC.

Doing Business As: DEVAUGHN INTERVENTION TEACH AND TREAT OPTIONS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4804 YORK RD STE 2
BALTIMORE, MD
ZIP 21212
Phone: (443) 873-8958
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EVA LIFE GIVER INC. is a community behavioral health in Baltimore, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EVA LIFE GIVER INC. NPI is 1003210873. The provider is registered as an organization entity type.
The provider Is Doing Business As Devaughn Intervention Teach And Treat Options.

The provider's business location address is:

4804 YORK RD STE 2
BALTIMORE, MD
ZIP 21212-401
Phone: (443) 873-8958
Fax: (443) 873-8959

The provider's authorized official is Eva Devaughn .
The authorized official title is Executive Director and has the following contact phone number (443) 271-8046.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 3/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11699076562MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.