Evolve Residential LLC
NPI 1043957137 · Substance Abuse Rehabilitation Facility · Glen Burnie, MD
Evolve Residential LLC is a Substance Abuse Rehabilitation Facility organization in Glen Burnie, MD (NPI 1043957137).
Provider details
- NPI number
- 1043957137
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Evolve Residential LLC
- Organization subpart
- Yes
- Authorized official
- Jessie Costley, Licensing & Credentialing Specialis(443) 548-3733
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2025-07-13
- Certified
- 2025-07-13
Frequently asked questions
- What is Evolve Residential LLC's NPI number?
- Evolve Residential LLC's National Provider Identifier (NPI) is 1043957137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evolve Residential LLC?
- Evolve Residential LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Evolve Residential LLC located?
- Evolve Residential LLC's practice location on file with NPPES is 6305 Carolina Ave, Glen Burnie, MD 21061-1601.
- What is Evolve Residential LLC's phone number?
- The practice phone number listed in the NPPES registry for Evolve Residential LLC is (443) 548-3733.
- Who is the authorized official for Evolve Residential LLC?
- The authorized official listed on Evolve Residential LLC's NPPES record is Jessie Costley, Licensing & Credentialing Specialis. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evolve Residential LLC's NPI active?
- Yes — Evolve Residential LLC's NPI (1043957137) is active in the NPPES registry as of the last update on 2025-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.