4 2 RESTORE LLC (NPI# 1265044788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265044788 |
| Entity Type | Organization |
| Organization Name | 4 2 RESTORE LLC |
| Practice Address |
3527 N Rolling Rd Ste 4 Windsor Mill MD 21244-2256 |
| Practice Telephone | 4107019190 |
| Practice Fax Number | 4107017483 |
| Mailing Telephone | 4107019190 |
| Mailing Fax Number | 4107017483 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. DEADRA MONIQUE MARTIN (CEO) |
| Authorized Official Telephone | 4107019190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504467 | 4 2 Restore LLC | Community/Behavioral Health | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2018-10-15 |
| 1790398154 | 4 2 Restore LLC | Clinic/Center | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-26 |
| 1427661883 | 4 2 Restore LLC | Community/Behavioral Health | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-26 |
| 1649882085 | 4 2 Restore LLC | Clinic/Center | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-18 |
| 1982216412 | 4 2 Restore LLC | Psychiatric Hospital | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-17 |
| 1336751866 | 4 2 Restore LLC | Substance Abuse Rehabilitation Facility | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-17 |
| Street Address |
3527 N ROLLING RD STE 4 |
| City | WINDSOR MILL |
| State | MD |
| Zip Code | 21244-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504467 | 4 2 Restore LLC | Community/Behavioral Health | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2018-10-15 |
| 1790398154 | 4 2 Restore LLC | Clinic/Center | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-26 |
| 1427661883 | 4 2 Restore LLC | Community/Behavioral Health | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-26 |
| 1649882085 | 4 2 Restore LLC | Clinic/Center | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-18 |
| 1982216412 | 4 2 Restore LLC | Psychiatric Hospital | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-17 |
| 1336751866 | 4 2 Restore LLC | Substance Abuse Rehabilitation Facility | 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244-2256 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| 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 with the same taxonomy | ||||
| City | WINDSOR MILL |
| Zip Code | 21244 |
Please comment or provide details below to improve the information on 4 2 RESTORE LLC.
| 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.