VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC
NPI 1033909775
Clinic/Center - Rehabilitation in Beltsville, MD
About Vintage Behavioral Healthcare Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC (NPI 1033909775) is a healthcare organization registered as a rehabilitation in Beltsville, Maryland and active in the NPI registry since May 2025. The organization lists Elijah Jones, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vintage Behavioral Healthcare Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vintage Behavioral Healthcare Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vintage Behavioral Healthcare Center LLC's NPI number?
The NPI number for Vintage Behavioral Healthcare Center LLC is 1033909775. It was assigned to this organization in the NPPES registry on May 7, 2025.
Where is Vintage Behavioral Healthcare Center LLC located?
Vintage Behavioral Healthcare Center LLC is located at 4041 Powder Mill Rd Ste 322B, Beltsville, MD 20705. The listed phone number is (202) 843-3537.
What is Vintage Behavioral Healthcare Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Vintage Behavioral Healthcare Center LLC enrolled in Medicare?
Yes. Vintage Behavioral Healthcare Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vintage Behavioral Healthcare Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vintage Behavioral Healthcare Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vintage Behavioral Healthcare Center LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vintage Behavioral Healthcare Center Llc · NPI 1033909775
Rehabilitation organization in Beltsville, Maryland. Organization record, active in the CMS NPPES registry since May 7, 2025.
## Identity
- **NPI:** 1033909775 (Entity type: Organization)
- **Enumerated:** May 7, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Elijah Jones, CEO
## Practice location
- **Address:** 4041 POWDER MILL RD STE 322B, Beltsville, MD 20705-3106
- **Phone:** (202) 843-3537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033909775) · Data from the CMS NPPES public registry.