Organization Active NPI

BFW Group Holdings LLC

  • Community/Behavioral Health Agency
  • Germantown, MD
National Provider Identifier
1811610736
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BFW GROUP HOLDINGS LLC
Doing business as
BornFree Wellness Centers of America LLC
Practice address
19537 Doctors Dr
Germantown, MD 20874-5262
Phone
(240) 654-4001
Fax
(240) 654-4190
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mr. Robert Galaher
Title
Program Sponsor and Manager Member
Phone
(410) 991-5687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

19537 Doctors Dr
Germantown, MD 20874-5262

Mailing address

19537 Doctors Dr
Germantown, MD 20874-5262
Phone (240) 654-4001

Other names 1

  • BornFree Wellness Centers of America LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BFW Group Holdings 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.

Locations

19537 Doctors Dr
Germantown, MD 20874
Phone (240) 654-4001

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1811610736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "240-654-4001",
            "fax_number": "240-654-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "240-654-4001",
            "fax_number": "240-654-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFW GROUP HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "GALAHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROGRAM SPONSOR AND MANAGER MEMBER",
        "authorized_official_telephone_number": "410-991-5687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BornFree Wellness Centers of America LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BornFree Wellness Centers of America LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.