NPIMap

11100 Billingsley Road Opco LLC

Organization Active NPI Substance Abuse Rehabilitation Facility · Waldorf, MD

NPI 1073021853 · NPPES record last updated Dec 18, 2024

Key facts

NPI
1073021853
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
11100 BILLINGSLEY ROAD OPCO LLC
Practice address
11100 Billingsley Rd
Waldorf, MD 20602-3400
Phone
(240) 754-6100
NPI assigned
Jan 16, 2018
Organization subpart
No

Authorized official

Name
Serge Cruz
Title
Corp Dir Patient Accounts
Phone
(610) 427-9434

Corporate family (same tax ID) 1

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

Practitioners 27

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

View all 27

National Provider Directory

Tax ID family
11100 Billingsley Road Opco LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Mailing address

2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781
Phone (610) 994-2968

Other names

  • Recovery Centers of America at Capital Region Doing business as
  • Recovery Centers of America at Waldorf Other name
  • The Maryland Center for Addiction Treatment Other name

Other providers in Waldorf, MD

All providers in Waldorf, MD · Substance Abuse Rehabilitation Facility in Maryland

Sources for this page

Verify at the official NPI Registry.