BAYSIDE RECOVERY LLC
NPI 1235516469
Community/Behavioral Health in Prince Frederick, MD
- Organization
- Community/Behavioral Health
- CLIA Number: 21D2118394
- CLIA Cert. Type: Other - OUTPATIENT SUBSTANCE ABUS
- CLIA Exp. Date: 09-06-2026
About BAYSIDE RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Bayside Recovery Llc, a provider established in Prince Frederick, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1235516469 assigned on April 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Robert Galaher (Program Sponsor)
- NPI
- 1235516469 Verify this NPI
- Provider Name
- BAYSIDE RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 440 SOLOMONS ISLAND RD N SUITE 222 PRINCE FREDERICK, MD 20678
- Location Phone
- (443) 486-5680
- Location Fax
- (443) 486-5679
- Mailing Address
- 440 SOLOMONS ISLAND RD N SUITE 222 PRINCE FREDERICK, MD 20678
- Mailing Phone
- (443) 486-5680
- Mailing Fax
- (443) 486-5679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2015
- Last Update Date
- 11-07-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2118394
- Facility Type
- Other - OUTPATIENT SUBSTANCE ABUS
- Certificate Effective Date
- September 07, 2024
- Certificate Expiration Date
- September 06, 2026
- Laboratory Director
- DR. JOHN F. DOMBROWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bayside Recovery Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235516469, enumerated as an "organization" on April 27, 2015.
The provider is located at 440 SOLOMONS ISLAND RD N SUITE 222 PRINCE FREDERICK, MD 20678 and the phone number is (443) 486-5680.
Community/Behavioral Health with taxonomy code 251S00000X.
