NPIMap

Organization Active NPI

Head Injury Rehabilitation and Referral Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rockville, MD
National Provider Identifier
1336181775
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
DDA-29155 Issued in MD
Legal business name
HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC.
Practice address
11 Taft CT Ste 100
Rockville, MD 20850-5350
Phone
(301) 309-2228
Fax
(301) 309-2278
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Ricardo Hunter
Title
President
Phone
(301) 309-2228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X DDA3795-98 MD
Developmentally Disabled Services Day Training Agency 251C00000X DDA-29155 MD
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X DDA-29155 MD Primary

Addresses

Primary practice location

11 Taft CT Ste 100
Rockville, MD 20850-5350

Mailing address

11 Taft CT Ste 100
Rockville, MD 20850-5350
Phone (301) 309-2228

Other identifiers 2

IdentifierTypeStateIssuer
209610200MedicaidMD
228850800MedicaidMD

National Provider Directory

National Provider Directory

Locations

11 Taft Ct
Ste 100
Rockville, MD 20850
Phone (301) 309-2228

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1336181775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TAFT CT STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505350",
            "telephone_number": "301-309-2228",
            "fax_number": "301-309-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TAFT CT STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505350",
            "telephone_number": "301-309-2228",
            "fax_number": "301-309-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-309-2228"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "DDA3795-98",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "DDA-29155",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "DDA-29155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209610200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228850800",
            "state": "MD"
        }
    ],
    "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 Apr 10, 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.

Verify at the official NPI Registry.