AVERY HALFWAY HOUSE (NPI# 1821071176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821071176 |
| Entity Type | Organization |
| Organization Name | AVERY HALFWAY HOUSE |
| Other Organization Name | CHRYSALIS HOUSE INC. |
| Practice Address |
14705 Avery Rd Rockville MD 20853-3605 |
| Practice Telephone | 3017624651 |
| Practice Fax Number | 3017624836 |
| Mailing Telephone | 3017624651 |
| Mailing Fax Number | 3017624836 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORENE LAKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4109746829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 9217 | MD | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Chrysalis House Inc. | Other Name - Individual/Organization |
| Street Address |
14705 AVERY RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20853-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667086 | Mckenzie Sherman | Marriage & Family Therapist | 14705 Avery Rd, Rockville, MD 20853-3605 | 2020-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136701 | Products Exchange International | Non-emergency Medical Transport (VAN) | 4511 Faroe P Lace, A1, Rockville, MD 20853 | 2018-09-04 |
| 1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
| 1356898910 | Amelework Tesfaye Berhe | Nurse Anesthetist, Certified Registered | 4924 Arctic Terrace, Rockville, MD 20853 | 2016-09-01 |
| 1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
| 1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
| 1245655927 | Christopher Best | Counselor | 4701 Avery Road, Rockville, MD 20853 | 2014-03-04 |
| 1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
| 1922358704 | Amy Wynne Luther-rockwell | Registered Nurse | 13815 Flint Rock Road, Rockville, MD 20853 | 2012-09-19 |
| 1689802456 | Dahlia Topolosky | Psychologist | 5818 B Hubbard Drive, Rockville, MD 20853 | 2009-06-30 |
| 1407035736 | Nancy Ruberto-beachler | Nutritionist | 4701 Jasmine Dr., Rockville, MD 20853 | 2007-11-02 |
| Find all providers in zip 20853 | ||||
| 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 |
|---|---|---|---|---|
| 1255808374 | Maryland Wellness and Recovery, LLC | Substance Abuse Rehabilitation Facility | 11125 Rockville Pike Ste 302, Rockville, MD 20852-3142 | 2018-10-26 |
| 1578668497 | Resources for Human Development, Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2006-09-14 |
| 1003458191 | Chosen Rockville LLC | Substance Abuse Rehabilitation Facility | 768 N Us Highway 41, Rockville, IN 47872-7091 | 2019-10-10 |
| 1841702180 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-10-26 |
| 1093242117 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-05-19 |
| 1902333024 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-05-19 |
| 1710368071 | The Retreat At Zion LLC | Substance Abuse Rehabilitation Facility | 991 W 230 S, Rockville, UT 84763 | 2015-06-12 |
| 1306176961 | Resources for Human Development | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2010-01-05 |
| 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.