NPIMap

Organization Active NPI

Hagerstown Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Derwood, MD
National Provider Identifier
1932871696
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HAGERSTOWN RECOVERY LLC
Practice address
9 Granby CT
Derwood, MD 20855-1406
Phone
(301) 355-7455
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Nicholas Albaugh, CSC-AD
Title
Member
Phone
(301) 538-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9 Granby CT
Derwood, MD 20855-1406

Mailing address

19120 Muncaster Rd
Derwood, MD 20855-2406
Phone (301) 355-1741

National Provider Directory

National Provider Directory
Tax ID family
Hagerstown Recovery LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1932871696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 MUNCASTER RD",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552406",
            "telephone_number": "301-355-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GRANBY CT",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551406",
            "telephone_number": "301-355-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERSTOWN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "ALBAUGH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-538-4114",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.