NPIMap

Organization Active NPI

Adventist Healthcare, Inc.

Doing business as Adventist HealthCare Behavioral Health & Wellness Services

  • Psychiatric Residential Treatment Facility
  • Rockville, MD
National Provider Identifier
1063682532
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ADVENTIST HEALTHCARE, INC.
Doing business as
Adventist HealthCare Behavioral Health & Wellness Services
Practice address
14901 Broschart Rd
Rockville, MD 20850-3318
Phone
(301) 251-4500
NPI assigned
Mar 11, 2008
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Mr. James Lee
Title
Treasurer and Secretary
Phone
(301) 315-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

14901 Broschart Rd
Rockville, MD 20850-3318

Mailing address

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1419
Phone (301) 315-3030

Other identifiers 1

IdentifierTypeStateIssuer
956450100MedicaidMD

Other names 1

  • Adventist HealthCare Behavioral Health & Wellness Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Healthcare15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1063682532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "address_2": "SUITE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 BROSCHART RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503318",
            "telephone_number": "301-251-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER AND SECRETARY",
        "authorized_official_telephone_number": "301-315-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956450100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist HealthCare Behavioral Health & Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.