WARWICK MANOR BEHAVIORAL HEALTH, INC. (NPI# 1225212087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225212087 |
| Entity Type | Organization |
| Organization Name | WARWICK MANOR BEHAVIORAL HEALTH, INC. |
| Practice Address |
3680 Warwick Rd East New Market MD 21631-1420 |
| Practice Telephone | 8003446423 |
| Practice Fax Number | 4109433976 |
| Mailing Telephone | 8003446423 |
| Mailing Fax Number | 4109433976 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | MR. L. WESLEY FUHRMAN (PRESIDENT & C.E.O.) |
| Authorized Official Telephone | 8003446423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 16294 | MD | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| 1467501544 | Warwick Manor Behavioral Health, Inc. | Counselor | 220a E Main St, Salisbury, MD 21801-4923 | 2007-01-09 |
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1366849903 | Warwick Manor Behavioral Health, Inc. | Clinic/Center | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2014-11-25 |
| 1669648390 | Warwick Manor Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2008-05-02 |
| 1124202221 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2007-12-26 |
| Street Address |
3680 WARWICK RD |
| City | EAST NEW MARKET |
| State | MD |
| Zip Code | 21631-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1457814212 | Colleen White | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2019-04-09 |
| 1386114197 | Amy Lynn Conneely | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2018-12-05 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1366849903 | Warwick Manor Behavioral Health, Inc. | Clinic/Center | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2014-11-25 |
| 1649602558 | Michelle Ann Purdham | Registered Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-08-01 |
| 1003259151 | Sherri Lynn Vandyke | Registered Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-08 |
| 1477896256 | Susan Brown | Licensed Practical Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-01 |
| 1366710725 | Sharon Johnson Waters | Counselor | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2011-12-13 |
| 1063780773 | Anthony Brown | Counselor | 3680 Warwick Rd, Warwick Manor Behavior Health, East New Market, MD 21631 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043572274 | Amy Todd Bennett | Physical Therapist | 211 Manning Lane, Po Box 25, East New Market, MD 21631 | 2012-06-13 |
| 1841338027 | Joseph Clement Boschulte | Psychiatry & Neurology | 3680 Warwick Road, East New Market, MD 21631 | 2007-02-01 |
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| 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 |
|---|---|---|---|---|
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1063789410 | Warwick Manor Behavior Health | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, Warwick Manor Behavior Health, East New Market, MD 21631-1420 | 2011-11-29 |
| 1124202221 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2007-12-26 |
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|---|---|---|---|---|
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| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
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| 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 | ||||
| City | EAST NEW MARKET |
| Zip Code | 21631 |
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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.