WARWICK MANOR BEHAVIORAL HEALTH, INC. (NPI# 1366849903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366849903 |
| Entity Type | Organization |
| Organization Name | WARWICK MANOR BEHAVIORAL HEALTH, INC. |
| Practice Address |
3680 Warwick Rd East New Market MD 21631-1420 |
| Mailing Address |
Po Box 489 Secretary MD 21664-0489 |
| Practice Telephone | 4109438108 |
| Mailing Telephone | 4109438108 |
| Mailing Fax Number | 4109433976 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | L. WESLEY FUHRMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 4109438108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH-1296 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 408231100 | 05 |
| 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 |
| 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 |
| 1225212087 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2007-12-28 |
| 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 |
| 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 |
| 1407123862 | Eleanor Delaine Keating | Counselor | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2011-11-29 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 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.