National Provider Identifier Database

EVA LIFE GIVER INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

EVA LIFE GIVER INC.
5003 ARDMORE WAY
BALTIMORE, MD21206-5004
Phone: 443-271-8046
Fax: 443-873-8959
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for EVA LIFE GIVER INC.

NPI Number 1619694346
Legal business name
LBN
EVA LIFE GIVER INC.
Authorized official EVA DEVAUGHN-BUCHANAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/24/2022
Last updated 10/24/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 1003210873
  • MD Medicaid: 1093248577
  • MD Medicaid: 14477619507
  • MD Medicaid: 1699076562
  • MD Medicaid: 1801345277
  • MD Medicaid: 1831622315

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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