Alive Wellness Home, Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Germantown, MD

NPI 1003754797 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1003754797
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
ALIVE WELLNESS HOME, INC
Practice address
12312 Quail Woods Dr
Germantown, MD 20874-1542
Phone
(240) 421-8408
NPI assigned
Mar 23, 2026
Organization subpart
No

Authorized official

Name
Chantal Hlontor, DR NPI 1184265712
Title
President
Phone
(240) 421-8408

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

12312 Quail Woods Dr
Germantown, MD 20874-1542

Mailing address

12312 Quail Woods Dr
Germantown, MD 20874-1542

Other providers in Germantown, MD

All providers in Germantown, MD · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

Sources for this page

Verify at the official NPI Registry.