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ALTA HEALTHCARE SERVICES LLC
NPI 1114674058
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gaithersburg, MD

Active since March 09, 2022
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877(240) 801-9818 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alta Healthcare Services Llc NPPES

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

ALTA HEALTHCARE SERVICES LLC (NPI 1114674058) is a healthcare organization registered as a mental health (including community mental health center) in Gaithersburg, Maryland and active in the NPI registry since March 2022. The organization lists Hannah Dibonge, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114674058
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameALTA HEALTHCARE SERVICES LLC
Location Address101 LAKEFOREST BLVD STE 250Gaithersburg, MD 20877-2633
Mailing Address21506 Manor View CirGermantown, MD 20876-5924 · (240) 506-1728
Phone(240) 801-9818
Organization SubpartNo
Authorized OfficialHannah DibongeCeo · (240) 506-1728
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1114674058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
101 LAKEFOREST BLVD STE 250, Gaithersburg, MD 20877
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Other Providers at the Same Location NPPES 8

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

ALTA HEALTHCARE SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818
ALTA HEALTHCARE SERVICES, INC.
Home Health
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 506-1728
ALTA HEALTCARE SERVICES
Community/Behavioral Health
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 506-1728
ALTA FIRST CHOICE, INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818
ALTA HEALTHCARE SERVICES LLC
Skilled Nursing Facility (Nursing Care, Pediatric)
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818
ALTA HEALTHCARE SERVICES LLC
Home Health
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818
ALTA HEALTHCARE SERVICES LLC
Home Health
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818
ALTA HEALTHCARE SERVICES, INC.
Clinic/Center (Rehabilitation)
101 LAKEFOREST BLVD STE 250
GAITHERSBURG, MD 20877
Montgomery County (240) 801-9818

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 Alta Healthcare Services LLC's NPI number?

The NPI number for Alta Healthcare Services LLC is 1114674058. It was assigned to this organization in the NPPES registry on March 9, 2022.

Where is Alta Healthcare Services LLC located?

Alta Healthcare Services LLC is located at 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877. The listed phone number is (240) 801-9818.

What is Alta Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Alta Healthcare Services LLC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.