Organization
EVOLVE RESIDENTIAL LLC
Active
Parent organization
EVOLVE RESIDENTIAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLVE RESIDENTIAL LLC
Authorized official
JESSIE COSTLEY (LICENSING & CREDENTIALING SPECIALIS)
(443) 548-3733
Entity
Organization
Contact information
Practice address
6305 CAROLINA AVE, GLEN BURNIE, MD 21061-1601
(443) 548-3733
Mailing address
2528 MOUNTAIN RD STE 204, PASADENA, MD 21122-7204
(443) 548-3733
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
07/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us