Concerted Care Group Cumberland LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CONCERTED CARE GROUP CUMBERLAND LLC

Practice address

1050 W Industrial Blvd Ste 16
Cumberland, MD 21502-4331

Phone

(240) 813-9867

NPI assigned

Jun 7, 2023

Last updated

Aug 21, 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

Keonna Armstrong

Title

VP of Revenue Cycle Management

Phone

(240) 813-9867

Specialties & licenses 1

Addresses

Tax ID family

Concerted Care Group Cumberland 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 Cumberland LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cumberland, MD
  • NPI 1386348712
  NPD tax ID

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1881388387",
    "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": "240-813-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD STE 16",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-813-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP CUMBERLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG HOLDCO, LLC",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Committed to Change, PC
• Comprehensive Rehab Consultants PLLC
• Comprehensive Rehab Consultants PLLC
• Comptroller of Maryland Central Payroll Bureau
• Concerted Care Group Cumberland LLC
• Crystal Kolb Condry, LGSW
• Jane Marie Connell, MS, LCPC
• Ashley D Conrad, PHARMD
• Amber Conway
• Keeley Cook, PA-C

• Substance Use Disorder Rehabilitation Clinic/Center in Cumberland, MD
• Providers in Cumberland, 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 Aug 21, 2024; 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.