HARBOUR HOUSE INC (NPI# 1093251746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093251746 |
| Entity Type | Organization |
| Organization Name | HARBOUR HOUSE INC |
| Practice Address |
1521 Widows Mite Rd Edgewater MD 21037-2144 |
| Mailing Address |
5 Oak Ct Annapolis MD 21401-7017 |
| Practice Telephone | 4102553539 |
| Mailing Telephone | 4102663040 |
| Mailing Fax Number | 4433783540 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | ROGER RILEY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4433108753 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MH-1994 | MD | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Oak Ct, Annapolis, MD 214017017 | 4102663040 | 4433783540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1124595376 | Harbour House Inc | Substance Abuse Rehabilitation Facility | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2018-10-25 |
| 1902083181 | Harbour House Inc | Community Based Residential Treatment Facility, Mental Illness | 8354 Woodlawn Road, Millersville, MD 21108 | 2008-01-30 |
| 1891201471 | Harbour House Inc | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2017-12-19 |
| Street Address |
1521 WIDOWS MITE RD |
| City | EDGEWATER |
| State | MD |
| Zip Code | 21037-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595376 | Harbour House Inc | Substance Abuse Rehabilitation Facility | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2018-10-25 |
| 1528673431 | Harbour House | Substance Abuse Rehabilitation Facility | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2020-09-09 |
| 1548892029 | Harbour House, Inc | Community/Behavioral Health | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757786 | Bh Brightview South River Opco, LLC | Alzheimer Center (Dementia Center) | 8 Lee Airpark Drive, Edgewater, MD 21037 | 2019-12-12 |
| 1821568486 | Ashlee Christine Rodriguez | Social Worker | 2600 Solomons Island Rd., Edgewater, MD 21037 | 2018-11-27 |
| 1497220826 | Charlotte Lanphear | Physician Assistant | 3168 Braverton St., #340, Edgewater, MD 21037 | 2018-10-12 |
| 1134600224 | Fnu Leena Nathan | Physical Therapist | South River Health and Rehabilitation Center, 144 Washington Road, Edgewater, MD 21037 | 2018-08-27 |
| 1386163020 | Collective Transformation Health Services | Counselor | 1642 Shady Side Dr., Edgewater, MD 21037 | 2017-09-13 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1588936678 | Mark Melanson | Community Health Worker | 144 Washington Street, Edgewater, MD 21037 | 2012-02-03 |
| 1467761643 | Melvyn Paul Heyes | Social Worker | 1444 Shore Drive, Edgewater, MD 21037 | 2010-10-05 |
| 1538301486 | Lori Bennett | Physical Therapist | 3179 Braverton Street, Suite 201, Edgewater, MD 21037 | 2009-03-24 |
| 1427278605 | Patricia Ann Zwald | Registered Nurse | 140 Stepney Lane, Edgewater, MD 21037 | 2007-04-27 |
| Find all providers in zip 21037 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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| 1932726346 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 2009 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 | 2020-07-01 |
| 1831733880 | Empowering Mind Resource Center | Psychiatric Residential Treatment Facility | 1429 Madison Ave, Baltimore, MD 21217-3616 | 2019-11-03 |
| 1851935803 | Empowering Mind Resource Center | Psychiatric Residential Treatment Facility | 4311 W Forest Park Ave, Baltimore, MD 21207-7451 | 2019-11-03 |
| 1871092163 | All American Home Care and Prp Services Inc. | Psychiatric Residential Treatment Facility | 8511 Harford Rd # C, Parkville, MD 21234-4670 | 2018-02-01 |
| 1558874040 | Ijomah and Associates Inc | Psychiatric Residential Treatment Facility | 3050 Old Washington Rd, Waldorf, MD 20601-3121 | 2017-11-07 |
| 1871949388 | The Recovery Village Maryland, LLC | Psychiatric Residential Treatment Facility | 13400 Edgemeade Road, Upper Marlboro, MD 20772 | 2016-05-13 |
| 1558668947 | Fescum Inc | Psychiatric Residential Treatment Facility | 6304 Willow Way, Clinton, MD 20735-3956 | 2011-02-21 |
| 1417197112 | Rehabilitation Systems, Inc | Psychiatric Residential Treatment Facility | 7375 Executive Pl Ste 301, Lanham, MD 20706-6233 | 2009-02-20 |
| 1497954275 | Baltimore Crisis Response,inc | Psychiatric Residential Treatment Facility | Walter P. Carter Center 630 West Fayette Street, Suite 6 West, Baltimore, MD 21201 | 2007-07-12 |
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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.