Active NPI
The Arc of Washington County, Inc.
Doing business as Florida Avenue Medical Day Care Stepping Stones
- Developmentally Disabled Services Day Training Agency
- Hagertown, MD
National Provider Identifier
1194734251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- THE ARC OF WASHINGTON COUNTY, INC.
- Doing business as
- Florida Avenue Medical Day Care Stepping Stones
- Practice address
- 820 Florida Avenue
Hagertown, MD 21740 - Phone
- (301) 733-3550
- Fax
- (301) 745-5573
- NPI assigned
- Aug 7, 2006
- Last updated
- Feb 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Troy Van Scoyoc
- Title
- Executive Director
- Phone
- (301) 733-3550
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | MD | Primary | |
| Community Health Clinic/Center | 261QC1500X | |||
| Community Health Clinic/Center | 261QC1500X | MD | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
820 Florida Avenue
Hagertown, MD 21740
Mailing address
820 Florida Avenue
Hagertown, MD 21740
Phone (301) 733-3550
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225593600 | Medicaid | MD | |
| 356902100 | Other | MD | MAPS MD |
| 405578100 | Medicaid | MD | |
| 730113800 | Medicaid | MD | |
| 792402000 | Medicaid | MD |
Other names 1
- Florida Avenue Medical Day Care Stepping Stones
National Provider Directory
National Provider Directory- Tax ID family
- Florida Avenue Medical Day Care Stepping Stones
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Hagerstown, MD
- NPI 1376718916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1194734251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 FLORIDA AVENUE",
"city": "HAGERTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-733-3550",
"fax_number": "301-745-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 FLORIDA AVENUE",
"city": "HAGERTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-733-3550",
"fax_number": "301-745-5573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF WASHINGTON COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "VAN SCOYOC",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "301-733-3550"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225593600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAPS MD",
"identifier": "356902100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405578100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730113800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "792402000",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Avenue Medical Day Care Stepping Stones",
"code": "3",
"type": "Doing Business As"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.