NPIMap

Organization Active NPI

Brooke'S House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1760161277
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BROOKE'S HOUSE, INC.
Practice address
1019 Maryland Ave
Hagerstown, MD 21740-7201
Phone
(240) 267-2230
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Ms. Angela S Williams
Title
Office Administrator
Phone
(240) 267-2230

Specialties & licenses 1

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

Addresses

Primary practice location

1019 Maryland Ave
Hagerstown, MD 21740-7201

Mailing address

17670 Technology Blvd
Hagerstown, MD 21740-2074
Phone (240) 267-2230

National Provider Directory

National Provider Directory
Tax ID family
Brooke'S House Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1019 Maryland Ave
Hagerstown, MD 21740
Phone (240) 267-2230

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1760161277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17670 TECHNOLOGY BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402074",
            "telephone_number": "240-267-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MARYLAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407201",
            "telephone_number": "240-267-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE'S HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "240-267-2230",
        "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": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.