THE HAVEN AT COLLEGE (NPI# 1639686728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639686728 |
| Entity Type | Organization |
| Organization Name | THE HAVEN AT COLLEGE |
| Other Organization Name | THE HAVEN AT COLLEGE MARYLAND |
| Practice Address |
4321 Hartwick Rd Ste 210 College Park MD 20740-3210 |
| Mailing Address |
7997 Camino Predera Rancho Cucamonga CA 91730-1919 |
| Practice Telephone | 3105676645 |
| Mailing Telephone | 3105676645 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | ROBERT ERIC WEBER (CFO) |
| Authorized Official Telephone | 3105676645 |
| Is Organization Subpart | Y |
| Parent Organization Name | RECOVERY GRADS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| The Haven at College Maryland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994802 | The Haven At College | Substance Abuse Rehabilitation Facility | 7207 Baltimore Ave, College Park, MD 20740-3269 | 2018-12-19 |
| 1952826067 | The Haven At College | Substance Abuse Rehabilitation Facility | 16 S Campus Ave, Oxford, OH 45056-1801 | 2017-08-09 |
| 1568827418 | The Haven At College | Clinic/Center | 817 W 34th St, 4th Floor, Los Angeles, CA 90089-0042 | 2015-12-19 |
| Street Address |
4321 HARTWICK RD STE 210 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518435783 | Victoria's Place | Rehabilitation, Substance Use Disorder Unit | 1611 Kirkwood Rd, Baltimore, MD 21207-4937 | 2018-11-06 |
| 1548736564 | Allen's House | Rehabilitation, Substance Use Disorder Unit | 219 Arundel Rd W, Brooklyn Park, MD 21225-2622 | 2018-10-17 |
| 1326521089 | Michael's Loft Residential Program | Rehabilitation, Substance Use Disorder Unit | 743 Old Riverside Rd, Brooklyn Park, MD 21225-2660 | 2018-09-10 |
| 1427539311 | Hilda's Place Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 2480 Roxbury Mills Rd, Glenwood, MD 21738-9718 | 2018-08-28 |
| 1144402975 | Malcom Grow | Rehabilitation, Substance Use Disorder Unit | 711 Romford Dr, Hyattsville, MD 20785-5940 | 2007-12-04 |
| 1831383454 | Veterans Administeration | Rehabilitation, Substance Use Disorder Unit | 314 Ave D, Perry Point, MD 21902 | 2007-08-28 |
| 1225113061 | Addictions Recovery Inc | Rehabilitation, Substance Use Disorder Unit | 26 Marbury Rd, Crownsville, MD 21032 | 2006-10-26 |
| 1528049384 | Valley Bridge House, Inc. | Rehabilitation, Substance Use Disorder Unit | 28 S Broadway, Baltimore, MD 21231-1712 | 2005-11-09 |
| 1841757127 | Unlimited Bounds Human Services LLC | Rehabilitation, Substance Use Disorder Unit | 11 E Mount Royal Ave Ste 2a, Baltimore, MD 21202-5513 | 2019-02-22 |
| 1134635253 | Adventist Healthcare, Inc. | Rehabilitation, Substance Use Disorder Unit | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-12-27 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on THE HAVEN AT COLLEGE.
| 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.