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RECOVERY CENTERS OF AMERICA AT BRACEBRIDGE HALL
NPI 1306211149
Substance Abuse Rehabilitation Facility in Earleville, MD

Active since December 04, 2015CLIA 21D2122201 · Waiver
RECOVERY CENTERS OF AMERICA AT BRACEBRIDGE HALL, 314 GROVE NECK RD, EARLEVILLE, MD 21919(410) 275-6200 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, May 11, 2018, Jan 15, 2018 and 1 more (4 updates tracked since 2015).

About Recovery Centers Of America At Bracebridge Hall NPPES

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

RECOVERY CENTERS OF AMERICA AT BRACEBRIDGE HALL (NPI 1306211149) is a healthcare organization registered as a substance abuse rehabilitation facility in Earleville, Maryland and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Serge Cruz, Corp Dir Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1306211149
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name314 GROVE NECK ROAD OPCO, LLC
Location AddressRECOVERY CENTERS OF AMERICA AT BRACEBRIDGE HALL, 314 GROVE NECK RDEarleville, MD 21919-3008
Mailing Address2201 Renaissance Blvd Fl 3King Of Prussia, PA 19406-2709 · (610) 994-2900
Phone(410) 275-6200
Organization SubpartNo
Authorized OfficialSerge CruzCorp Dir Patient Accounts · (610) 427-9434
Enumeration DateDecember 4, 2015
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1306211149 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
RECOVERY CENTERS OF AMERICA AT BRACEBRIDGE HALL, Earleville, MD 21919
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Other Names 1

Doing Business AsRecovery Centers Of America At Bracebridge Hall

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 21D2122201

Recovery Centers Of America At Bracebridge · Earleville, MD
Active · expires Nov 21, 2026
CLIA Number21D2122201
Laboratory TypeMD Bha Sud Svcs
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorDr. Carolyn Thangawng
Laboratory Phone(443) 282-1197
Laboratory LocationRecovery Centers Of America At Bracebridge314 Grove Neck Road, Earleville, MD 21919
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 314 Grove Neck Road Opco, LLC's NPI number?

The NPI number for 314 Grove Neck Road Opco, LLC is 1306211149. It was assigned to this organization in the NPPES registry on December 4, 2015. The provider is doing business as Recovery Centers Of America At Bracebridge Hall.

Where is 314 Grove Neck Road Opco, LLC located?

314 Grove Neck Road Opco, LLC is located at Recovery Centers Of America At Bracebridge Hall 314 Grove Neck Rd, Earleville, MD 21919. The listed phone number is (410) 275-6200.

What is 314 Grove Neck Road Opco, LLC's specialty?

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

Does 314 Grove Neck Road Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2122201) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 314 Grove Neck 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 19 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.