Organization Active NPI

Foundations Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Windsor Mill, MD
National Provider Identifier
1477054906
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FOUNDATIONS RECOVERY CENTER LLC
Practice address
7131 Rutherford Rd
Windsor Mill, MD 21244-2702
Phone
(410) 401-1970
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Stacey Butler
Title
Licensing and Credentialing
Phone
(410) 807-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7131 Rutherford Rd
Windsor Mill, MD 21244-2702

Mailing address

10019 Reisterstown Rd FL 3
Owings Mills, MD 21117-3902

Other practice location 1

1825 Woodlawn Dr Ste 104
Baltimore, MD 21207-4034
Phone (410) 401-1970

National Provider Directory

National Provider Directory

Locations

1825 Woodlawn Dr
Ste 104
Baltimore, MD 21207
Phone (410) 401-1970

7131 Rutherford Rd
Windsor Mill, MD 21244
Phone (410) 298-2691

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1477054906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD FL 3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 RUTHERFORD RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442702",
            "telephone_number": "410-401-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Woodlawn Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212074034",
            "country_code": "US",
            "telephone_number": "410-401-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "LICENSING AND CREDENTIALING",
        "authorized_official_telephone_number": "410-807-8471"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.