RECOVERY CENTERS OF AMERICA AT CAPITAL REGION
NPI 1073021853
Substance Abuse Rehabilitation Facility in Waldorf, MD

Active since January 16, 2018CLIA 21D2143511 · Waiver
11100 BILLINGSLEY RD, WALDORF, MD 20602(240) 754-6100 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 18, 2024, Dec 1, 2020, Jun 18, 2018 and 2 more (5 updates tracked since 2018).

About Recovery Centers Of America At Capital Region NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECOVERY CENTERS OF AMERICA AT CAPITAL REGION (NPI 1073021853) is a healthcare organization registered as a substance abuse rehabilitation facility in Waldorf, Maryland and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Serge Cruz, Corp Dir Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1073021853
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name11100 BILLINGSLEY ROAD OPCO LLC
Location Address11100 BILLINGSLEY RDWaldorf, MD 20602-3400
Mailing Address2701 Renaissance Blvd Fl 4King Of Prussia, PA 19406-2781 · (610) 994-2968
Organization SubpartNo
Authorized OfficialSerge CruzCorp Dir Patient Accounts · (610) 427-9434
Enumeration DateJanuary 16, 2018
Last NPPES UpdateDecember 18, 20245 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1073021853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
11100 BILLINGSLEY RD, Waldorf, MD 20602

Other Names 3

Doing Business AsRecovery Centers Of America At Capital Region
Other NameRecovery Centers Of America At Waldorf
Other NameThe Maryland Center For Addiction Treatment

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2143511

Recovery Centers Of America At Capital Region · Waldorf, MD
Active · expires Jan 30, 2028
CLIA Number21D2143511
Laboratory TypeMD Bha, Sud Svcs
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorDr. Grace J. Onuma
Laboratory Phone(202) 849-5619
Laboratory LocationRecovery Centers Of America At Capital Region11100 Billingsley Road, Waldorf, MD 20602
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
11100 BILLINGSLEY RD
WALDORF, MD 20602
Registered Nurse (Addiction (Substance Use Disorder))
11100 BILLINGSLEY RD
WALDORF, MD 20602
Social Worker (Clinical)
11100 BILLINGSLEY RD
WALDORF, MD 20602
Registered Nurse
11100 BILLINGSLEY RD
WALDORF, MD 20602
Counselor (Addiction (Substance Use Disorder))
11100 BILLINGSLEY RD
WALDORF, MD 20602
Licensed Practical Nurse
11100 BILLINGSLEY RD
WALDORF, MD 20602
Registered Nurse
11100 BILLINGSLEY RD
WALDORF, MD 20602
Registered Nurse
11100 BILLINGSLEY RD
WALDORF, MD 20602

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 11100 Billingsley Road Opco LLC's NPI number?

The NPI number for 11100 Billingsley Road Opco LLC is 1073021853. It was assigned to this organization in the NPPES registry on January 16, 2018. The provider is doing business as Recovery Centers Of America At Capital Region. The provider is also known as Recovery Centers of America at Waldorf and The Maryland Center for Addiction Treatment.

Where is 11100 Billingsley Road Opco LLC located?

11100 Billingsley Road Opco LLC is located at 11100 Billingsley Rd, Waldorf, MD 20602. The listed phone number is (240) 754-6100.

What is 11100 Billingsley Road Opco LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does 11100 Billingsley Road Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2143511) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 11100 Billingsley Road Opco LLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.