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11100 BILLINGSLEY ROAD OPCO LLC NPI 1073021853


NPI Information

NPI: 1073021853
Provider Name: 11100 BILLINGSLEY ROAD OPCO LLC

Doing Business As: RECOVERY CENTERS OF AMERICA AT CAPITAL REGION

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 21D2143511

Address:
11100 BILLINGSLEY RD
WALDORF, MD
ZIP 20602
Phone: (610) 994-2968
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11100 BILLINGSLEY ROAD OPCO LLC is a substance abuse rehabilitation facility in Waldorf, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. 11100 BILLINGSLEY ROAD OPCO LLC NPI is 1073021853. The provider is registered as an organization entity type.
The provider Is Doing Business As Recovery Centers Of America At Capital Region.

The provider's business location address is:

11100 BILLINGSLEY RD
WALDORF, MD
ZIP 20602-400
Phone: (610) 994-2968

The provider's authorized official is Kevin Mcclure .
The authorized official title is Corp Dir Patient Accounts and has the following contact phone number (610) 994-2900.

The CLIA number assigned to this NPI record is 21D2143511 - other - recovery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2018 and was last updated on 2/27/2024.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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