BROOKTREE COLUMBIA MD LLC (NPI# 1811383532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811383532 |
| Entity Type | Organization |
| Organization Name | BROOKTREE COLUMBIA MD LLC |
| Other Organization Name | BROOKTREE HEALTH SERVICES |
| Practice Address |
10005-10015 Old Columbia Rd Suite F-100 Columbia MD 21046 |
| Mailing Address |
P O Box 1030 Brick NJ 08723 |
| Practice Telephone | 7329031964 |
| Mailing Telephone | 7329031964 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | HIRSCH CHINN (COO) |
| Authorized Official Telephone | 4125127306 |
| 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 |
| Other Name | Type Code |
|---|---|
| Brooktree Health Services | Doing Business As Name - Organization |
| Street Address |
10005-10015 OLD COLUMBIA RD SUITE F-100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1760902563 | Reclaim You, LLC | Clinic/Center | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2017-06-22 |
| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1811446057 | Life's Potential Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-09-29 |
| 1912354572 | Phoenix Programs, Inc. | Clinic/Center | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2016-05-24 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| 1518303213 | Stephanie Hanneken | Clinic/Center | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-05-21 |
| Find all providers in COLUMBIA | ||||
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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.