Concerted Care Group Hagerstown, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CONCERTED CARE GROUP HAGERSTOWN, LLC

Practice address

10354 Supercenter Drive
Hagerstown, MD 21740-9724

Phone

(667) 239-3293

NPI assigned

Oct 19, 2023

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CCG HOLDCO, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Keonna Armstrong

Title

VP of Revenue Cycle Management

Phone

(240) 813-9867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Opioid treatment program

Medicare-enrolled since Jul 12, 2025

Enrollment records 1

Tax ID family

Concerted Care Group Hagerstown LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concerted Care Group Hagerstown LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1518730480
  NPD tax ID

Practitioners 1

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.

• Erika N Kane, MD

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1659300135
  NPD (past)

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1609658038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 200",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666143",
            "telephone_number": "667-239-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10354 SUPERCENTER DRIVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217409724",
            "telephone_number": "667-239-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP HAGERSTOWN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG HOLDCO, LLC",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-813-9867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comptroller of Maryland Central Payroll Bureau
• Comptroller of Maryland Central Payroll Bureau
• Comptroller of Maryland, Central Payroll Bureau (Western Maryland Hospital Center Renal)
• Concentra Primary Care PA
• Concerted Care Group Hagerstown LLC
• Connections Therapeutic Services
• Waymee Lwin Conner, MD
• Molly Rose Connor-Hall
• Jamy Conrad, LCSW-C
• Kelly Z. Conrad, LGPC

• Substance Use Disorder Rehabilitation Clinic/Center in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.