THE ORENDA CENTER FOR WELLNESS (NPI# 1609424530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609424530 |
| Entity Type | Organization |
| Organization Name | THE ORENDA CENTER FOR WELLNESS |
| Practice Address |
17645 Harbaugh Valley Rd Sabillasville MD 21780-9616 |
| Practice Telephone | 2404789839 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | KELSEA KEPHART (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2404789839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 W Patrick St, Frederick, MD 217014028 | 2404789839 |
| Street Address |
17645 HARBAUGH VALLEY RD |
| City | SABILLASVILLE |
| State | MD |
| Zip Code | 21780-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145906 | Jamila Pennyman | Nurse Practitioner | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2018-12-14 |
| 1144871542 | Grace Trigger | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-26 |
| 1235783259 | Kristin Lei Young | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-07-29 |
| 1154984961 | The Orenda Center for Wellness LLC | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972892719 | Deborah Nina Smith | Nurse Practitioner | 6000 Cullen Drive, Sabillasville, MD 21780 | 2011-04-01 |
| 1154933687 | Amanda Lee Mohler | Nurse Practitioner | 15880 Manahan Rd, Sabillasville, MD 21780-8405 | 2020-08-17 |
| 1932334406 | Victor Cullen Center | Substance Abuse Rehabilitation Facility | 6000 Cullen Dr, Sabillasville, MD 21780-9701 | 2009-05-27 |
| 1144627043 | Washington County Health Department East | Clinic/Center | 5989 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-11-21 |
| 1386810877 | Joel Grinder | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-05 |
| 1093296576 | Washington County Health Department-csap | Clinic/Center | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2018-08-23 |
| 1881082873 | Washington County Health Department-csap | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-12-30 |
| 1912174772 | Sonya Anthony | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-12 |
| 1013184050 | Charles Richard Avey | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-09 |
| 1679749709 | Jonathan Walter Sears | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-08 |
| Find all providers in zip 21780 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SABILLASVILLE |
| Zip Code | 21780 |
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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.