Organization Active NPI

Healthcare Secours LLC

  • Recovery Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1255037685
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
HEALTHCARE SECOURS LLC
Practice address
402 King Farm Blvd Ste 1251109
Rockville, MD 20850-5843
Phone
(301) 842-8877
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Healthcare Secours, CNA
Title
Ceo/President
Phone
(301) 842-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

402 King Farm Blvd Ste 1251109
Rockville, MD 20850-5843

Mailing address

402 King Farm Blvd Ste 125 # 1109
Rockville, MD 20850
Phone (301) 842-8877

National Provider Directory

National Provider Directory

Locations

402 King Farm Blvd
Ste 1251109
Rockville, MD 20850
Phone (301) 842-8877

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1255037685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD STE 125 # 1109",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-842-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD STE 1251109",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505843",
            "telephone_number": "301-842-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SECOURS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SECOURS",
        "authorized_official_first_name": "HEALTHCARE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "301-842-8877",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 2023; 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.