BROOKE'S HOUSE, INC. (NPI# 1093287617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093287617 |
| Entity Type | Organization |
| Organization Name | BROOKE'S HOUSE, INC. |
| Practice Address |
17670 Technology Boulevard Hagerstown MD 21740 |
| Mailing Address |
17666 Technology Blvd Hagerstown MD 21740-2074 |
| Practice Telephone | 2402174653 |
| Mailing Telephone | 2402174653 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MS. ANGELA S WILLIAMS (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 2402672230 |
| 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 |
|---|---|---|---|---|
| 1003387200 | Brooke's House, Inc. | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BROOKE'S HOUSE, INC. | 17666 Technology Blvd, Hagerstown, MD 21740-2074 |
| Street Address |
17670 TECHNOLOGY BOULEVARD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| 1457887150 | Jeffrey Moats | Licensed Practical Nurse | 16110 Everly Road, Hagerstown, MD 21740 | 2017-05-02 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961508 | Awakenings Recovery Center, LLC | Clinic/Center | 111 S Potomac St, Hagerstown, MD 21740-6680 | 2019-03-13 |
| 1922496892 | Wells House Inc | Clinic/Center | 128 E Baltimore St, Hagerstown, MD 21740-6104 | 2014-12-31 |
| 1568097608 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-03-10 |
| 1003387200 | Brooke's House, Inc. | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-12-16 |
| 1376012401 | Wells House Inc | Clinic/Center | 324 N Locust St, Hagerstown, MD 21740-4059 | 2018-11-19 |
| 1003304106 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2018-04-25 |
| 1841787132 | Associated Catholic Charities, Inc. | Clinic/Center | 324 E Antietam St Ste 307a, Hagerstown, MD 21740-5768 | 2018-04-23 |
| 1649636747 | Serenity Treatment Center, Inc. | Clinic/Center | 580 Northern Ave, Suite D, Hagerstown, MD 21742-2847 | 2016-01-06 |
| 1932187523 | Wells House Inc | Clinic/Center | 124 E Baltimore St, Hagerstown, MD 21740-6104 | 2006-01-04 |
| 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 | HAGERSTOWN |
| Zip Code | 21740 |
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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.