NPIMap

Organization Active NPI

Vintage Behavioral Healthcare Center LLC

  • Rehabilitation Clinic/Center
  • Beltsville, MD
National Provider Identifier
1033909775
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC
Practice address
4041 Powder Mill Rd Ste 322B
Beltsville, MD 20705-3106
Phone
(202) 843-3537
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Elijah JonesNPI 1154199487
Title
Ceo
Phone
(240) 388-9096

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Rehabilitation Clinic/Center 261QR0400X Primary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

4041 Powder Mill Rd Ste 322B
Beltsville, MD 20705-3106

Mailing address

4041 Powder Mill Rd Ste 322B
Beltsville, MD 20705-3106
Phone (202) 843-3537

National Provider Directory

National Provider Directory
Tax ID family
Vintage Behavioral Healthcare Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4041 Powder Mill Rd
Ste 310
Beltsville, MD 20705
Phone (240) 421-2538

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": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1033909775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 POWDER MILL RD STE 322B",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053106",
            "telephone_number": "202-843-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 POWDER MILL RD STE 322B",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053106",
            "telephone_number": "202-843-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-388-9096"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.