NPIMap

Organization Active NPI

Hildas Place Behavioral Health Organization, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbia, MD
National Provider Identifier
1013591346
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION, INC.
Doing business as
Hildas place
Practice address
4994 Beaverbrook Rd
Columbia, MD 21044-1408
Phone
(410) 489-3737
Fax
(410) 489-3738
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Theresa Thomas, MS,CAC-AD, NCAC-IINPI 1689047177
Title
Clinical Director
Phone
(410) 489-3737

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4994 Beaverbrook Rd
Columbia, MD 21044-1408

Mailing address

2480 Roxbury Mills Rd Ste 10
Glenwood, MD 21738-9718
Phone (410) 489-3737

Other names 1

  • Hildas place Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1013591346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 ROXBURY MILLS RD STE 10",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389718",
            "telephone_number": "410-489-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 BEAVERBROOK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441408",
            "telephone_number": "410-489-3737",
            "fax_number": "410-489-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-489-3737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,CAC-AD, NCAC-II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hildas place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.