MONTE NIDO MARYLAND LLC NPI 1649744327

NPI Information

NPI: 1649744327
Provider Name: MONTE NIDO MARYLAND, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 21D2173270

Address:
3100 ROXBURY MILLS RD
GLENWOOD, MD
ZIP 21738
Phone: (305) 663-1876
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MONTE NIDO MARYLAND, LLC is a community based residential treatment facility mental illness in Glenwood, MD. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTE NIDO MARYLAND, LLC NPI is 1649744327. The provider is registered as an organization entity type.

The provider's business location address is:

3100 ROXBURY MILLS RD
GLENWOOD, MD
ZIP 21738-702
Phone: (305) 663-1876
Fax: (914) 479-5490

The provider's authorized official is Paul Reed .
The authorized official title is Chief Operating Officer and has the following contact phone number (305) 663-1876.

The CLIA number assigned to this NPI record is 21D2173270 - other - limited private inpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/16/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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: 5/5/2024

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