NPIMap

Organization Active NPI

Brook Lane Health Services, Inc.

  • Psychiatric Hospital
  • Hagerstown, MD
National Provider Identifier
1316918048
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
21-002 Issued in MD
Legal business name
BROOK LANE HEALTH SERVICES, INC.
Practice address
13215 Brook Lane
Hagerstown, MD 21742-1435
Phone
(301) 733-0330
Fax
(301) 733-4038
NPI assigned
Jan 31, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Joshua Repac
Title
Cfo
Phone
(301) 790-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 21-002 MD Primary

Addresses

Primary practice location

13215 Brook Lane
Hagerstown, MD 21742-1435

Mailing address

13121 Brooklane Dr
Hagerstown, MD 21742-1514
Phone (301) 733-0330

Other identifiers 1

IdentifierTypeStateIssuer
063503100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040521000256 MD Part B Supplier - Clinic/Group Practice 9436140068 Receives reassigned benefits from 25 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hagerstown, MD; Frederick, MD
O20121029000149 MD Part A Provider - Hospital 9436140068 1 other NPI on this enrollment
Practice locations: Hagerstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316918048. Details of each certification follow.

Hospital certification: CCN 214003

Legal name
BROOK LANE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Jan 12, 2007
Beds
46
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1959 in MD
Enrollment address
13215 Brooklane Dr
Hagerstown, MD 21742-1435
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Brook Lane Health ServicesCCN 214003 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

5300 Westview Dr
Frederick, MD 21703
Phone (240) 242-5865

13218 Brooklane Dr
Hagerstown, MD 21742
Phone 3017330330184

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jacob Ashby Individual Operational/Managerial Control Jan 1, 2024
Joshua Repac Individual Corporate DirectorCfo Aug 8, 2025
Twyla Rowe Individual Operational/Managerial Control Jan 1, 2024
Eric Barger Individual Operational/Managerial Control Jan 1, 2024
Joshua Miller Individual Operational/Managerial Control Jan 1, 2024
Lauren Huguenin Individual Operational/Managerial Control Jan 1, 2024
Joyce Burkholder Individual Operational/Managerial Control Jan 1, 2024
Heather Hinkle Individual Operational/Managerial Control Jan 1, 2024
Lauren Bayer Individual Operational/Managerial Control Jan 1, 2024
Christopher R Stockslager Individual Operational/Managerial Control Jan 1, 2024
Melissa Hargreaves Individual Operational/Managerial Control Jan 1, 2024
Brenda Thiam Individual Operational/Managerial Control Jan 1, 2024
Sharon Gladfelter Individual W-2 Managing EmployeeCorporate Compliance Officer Jan 1, 1967 10%
Lisa D Smith Individual Operational/Managerial Control Jan 1, 2024

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1316918048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421435",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK LANE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-790-9351"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "21-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063503100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.