ADDICTION RECOVERY, INC. (NPI# 1255607842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255607842 |
| Entity Type | Organization |
| Organization Name | ADDICTION RECOVERY, INC. |
| Practice Address |
429 Main St Laurel MD 20707-4127 |
| Practice Telephone | 3014900877 |
| Practice Fax Number | 3014902517 |
| Mailing Telephone | 3014900877 |
| Mailing Fax Number | 3014902517 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | PETER D'SOUZA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4109236700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 904337 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 520204300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083007215 | Addiction Recovery, Inc. | Substance Abuse Rehabilitation Facility | 26 Marbury Dr, Crownsville, MD 21032-2065 | 2015-03-12 |
| 1992198139 | Addiction Recovery, Inc. | Clinical Nurse Specialist | 419 Main St, Laurel, MD 20707-4127 | 2015-03-12 |
| 1467869974 | Addiction Recovery, Inc. | Counselor | 26 Marbury Dr, Crownsville, MD 21032-2065 | 2014-07-16 |
| 1437434990 | Addiction Recovery, Inc. | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2011-10-17 |
| Street Address |
429 MAIN ST |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033653266 | Addiction Recovery Inc | Substance Abuse Rehabilitation Facility | 429 Main St, Laurel, MD 20707-4127 | 2016-12-07 |
| 1790229094 | Addiction Recovery Inc | Community Based Residential Treatment Facility, Mental Illness | 429 Main St, Laurel, MD 20707-4127 | 2016-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1821525551 | Addiction Recovery, Inc | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2017-05-12 |
| 1033653266 | Addiction Recovery Inc | Substance Abuse Rehabilitation Facility | 429 Main St, Laurel, MD 20707-4127 | 2016-12-07 |
| 1851835086 | Addiction Recovery Inc | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2016-12-07 |
| 1386032712 | Addiction Recovery, Inc | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2015-01-08 |
| 1437434990 | Addiction Recovery, Inc. | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2011-10-17 |
| 1790824472 | Reality, Inc. | Substance Abuse Rehabilitation Facility | 419 Main St, Laurel, MD 20707-4127 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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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.