ATS OF CECIL COUNTY, LLC (NPI# 1033696711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033696711 |
| Entity Type | Organization |
| Organization Name | ATS OF CECIL COUNTY, LLC |
| Other Organization Name | PINE HEIGHTS TREATMENT CENTER |
| Practice Address |
3455 Wilkens Avenue Lower Level 20 Baltimore MD 21229-5203 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 4106466960 |
| Practice Fax Number | 4106445612 |
| Mailing Telephone | 7607100819 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | PETER MORRIS (PRESIDENT) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
BH000115 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pine Heights Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050348 | Ats of Cecil County, LLC | Clinic/Center | 14701 National Hwy, Ste. 5, 6, & 1b, Lavale, MD 21502-6574 | 2018-07-25 |
| 1598892754 | Ats of Cecil County, LLC | Clinic/Center | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-02-27 |
| 1497232169 | Ats of Cecil County, LLC | Clinic/Center | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2018-07-25 |
| 1033507827 | Ats of Cecil County, LLC | Clinic/Center | 3455 Wilkens Ave, Lower Level 20, Baltimore, MD 21229-5213 | 2014-12-31 |
| 1730577990 | Ats of Cecil County, LLC | Clinic/Center | 14701 National Hwy Sw, Ste 5 & 6, Cumberland, MD 21502-6573 | 2014-12-22 |
| 1356540546 | Ats of Cecil County, LLC | Clinic/Center | 3455 Wilkens Ave, Lower Level 20, Baltimore, MD 21229-5213 | 2007-07-17 |
| Street Address |
3455 WILKENS AVENUE LOWER LEVEL 20 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.