NPIMap

Organization Active NPI

Maryland Wellness and Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Hagerstown, MD
National Provider Identifier
1053149666
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MARYLAND WELLNESS AND RECOVERY LLC
Practice address
41-43 Summit Avenue
Hagerstown, MD 21740-5522
Phone
(301) 538-4114
Fax
(240) 559-1571
NPI assigned
Jul 24, 2024
Organization subpart
Yes
Parent organization
MARYLAND WELLNESS AND RECOVERY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Sahar Geramifar
Title
Executive Director
Phone
(240) 242-4225

Specialties & licenses 1

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

Addresses

Primary practice location

41-43 Summit Avenue
Hagerstown, MD 21740-5522

Mailing address

41 Summit Ave
Hagerstown, MD 21740-5522
Phone (301) 538-4114

National Provider Directory

National Provider Directory
Tax ID family
Maryland Wellness and Recovery LLC16 organizations share this tax ID, including this one
Part of
Maryland Wellness and Recovery LLC

Other organizations with this tax ID 15

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

View all 15

Locations

41 Summit Ave
Hagerstown, MD 21740

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1053149666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SUMMIT AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405522",
            "telephone_number": "301-538-4114",
            "fax_number": "240-559-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-43 SUMMIT AVENUE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405522",
            "telephone_number": "301-538-4114",
            "fax_number": "240-559-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND WELLNESS AND RECOVERY LLC",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "GERAMIFAR",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-242-4225"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.