ADVENTIST HEALTHCARE, INC. (NPI# 1063682532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063682532 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTHCARE, INC. |
| Other Organization Name | ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES |
| Practice Address |
14901 Broschart Rd Rockville MD 20850-3318 |
| Mailing Address |
820 W Diamond Ave Suite 500 Gaithersburg MD 20878-1419 |
| Practice Telephone | 3012514500 |
| Mailing Telephone | 3013153030 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. JAMES LEE (TREASURER AND SECRETARY) |
| Authorized Official Telephone | 3013153030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 956450100 | 05 |
| Other Name | Type Code |
|---|---|
| Adventist HealthCare Behavioral Health & Wellness Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751135 | Adventist Healthcare, Inc. | Psychiatric Residential Treatment Facility | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2005-06-27 |
| 1487650024 | Adventist Healthcare, Inc. | General Acute Care Hospital | 12100 Plum Orchard Dr, Silver Spring, MD 20904-7804 | 2005-06-27 |
| 1568468221 | Adventist Healthcare, Inc. | General Acute Care Hospital | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2005-06-27 |
| 1134635253 | Adventist Healthcare, Inc. | Rehabilitation, Substance Use Disorder Unit | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-12-27 |
| 1720233323 | Adventist Healthcare, Inc. | Public Health or Welfare | 1801 Research Blvd, Suite 300, Rockville, MD 20850-3152 | 2008-11-24 |
| Street Address |
14901 BROSCHART RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751135 | Adventist Healthcare, Inc. | Psychiatric Residential Treatment Facility | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2005-06-27 |
| 1932707197 | Clara Ahaghotu | Nurse Practitioner | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2020-10-10 |
| 1417519174 | Colleen Priscilla Wilkinson-walker | Social Worker | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2019-07-02 |
| 1265906259 | Maria Cecelia Herald | Counselor | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2019-01-14 |
| 1083188072 | Vincent Joseph Sultenfuss IIi | Counselor | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2019-01-14 |
| 1255849188 | Kristi L Forsythe | Social Worker | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2018-01-12 |
| 1134635253 | Adventist Healthcare, Inc. | Rehabilitation, Substance Use Disorder Unit | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-12-27 |
| 1215454327 | Courtney Hannah Edwards | Social Worker | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-08-29 |
| 1720519994 | Jessica Wood | Counselor | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-03-21 |
| 1245789114 | Miriam Elana Garcia | Social Worker | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2016-10-03 |
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|---|---|---|---|---|
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| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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|---|---|---|---|---|
| 1821233156 | The Bridge Wellness Center, LLC | Psychiatric Residential Treatment Facility | 991 W 230 S, Rockville, UT 84763 | 2008-12-16 |
| 1497751135 | Adventist Healthcare, Inc. | Psychiatric Residential Treatment Facility | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2005-06-27 |
| 1780715789 | Resources for Human Development, Inc. | Psychiatric Residential Treatment Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2007-03-08 |
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| 1851935803 | Empowering Mind Resource Center | Psychiatric Residential Treatment Facility | 4311 W Forest Park Ave, Baltimore, MD 21207-7451 | 2019-11-03 |
| 1871092163 | All American Home Care and Prp Services Inc. | Psychiatric Residential Treatment Facility | 8511 Harford Rd # C, Parkville, MD 21234-4670 | 2018-02-01 |
| 1558874040 | Ijomah and Associates Inc | Psychiatric Residential Treatment Facility | 3050 Old Washington Rd, Waldorf, MD 20601-3121 | 2017-11-07 |
| 1871949388 | The Recovery Village Maryland, LLC | Psychiatric Residential Treatment Facility | 13400 Edgemeade Road, Upper Marlboro, MD 20772 | 2016-05-13 |
| 1558668947 | Fescum Inc | Psychiatric Residential Treatment Facility | 6304 Willow Way, Clinton, MD 20735-3956 | 2011-02-21 |
| 1417197112 | Rehabilitation Systems, Inc | Psychiatric Residential Treatment Facility | 7375 Executive Pl Ste 301, Lanham, MD 20706-6233 | 2009-02-20 |
| 1497954275 | Baltimore Crisis Response,inc | Psychiatric Residential Treatment Facility | Walter P. Carter Center 630 West Fayette Street, Suite 6 West, Baltimore, MD 21201 | 2007-07-12 |
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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.