BEL AIR RECOVERY CENTER, LLC
NPI 1396300398
Clinic/Center - Methadone in Bel Air, MD

Active since May 06, 2019CLIA 21D2170629 · Waiver
2014 S TOLLGATE RD STE 106, BEL AIR, MD 21015(443) 402-0612(443) 402-1381 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2020, Oct 23, 2019, May 6, 2019 (3 updates tracked since 2019).

About Bel Air Recovery Center, Llc NPPES

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

BEL AIR RECOVERY CENTER, LLC (NPI 1396300398) is a healthcare organization registered as a methadone in Bel Air, Maryland and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Michael Kratz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396300398
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameBEL AIR RECOVERY CENTER, LLC
Location Address2014 S TOLLGATE RD STE 106Bel Air, MD 21015-5906
Mailing Address1344 Goose Neck RdMiddle River, MD 21220-4027 · (410) 925-3514
Fax(443) 402-1381
Organization SubpartNo
Authorized OfficialMichael KratzCfo · (410) 925-3514
Enumeration DateMay 6, 2019
Last NPPES UpdateJanuary 3, 20203 updates tracked since enumeration
NPI 1396300398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

2014 S TOLLGATE RD STE 106, Bel Air, MD 21015

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 21D2170629

Bel Air Recovery Center, LLC · Bel Air, MD
Active · expires Aug 14, 2027
CLIA Number21D2170629
Laboratory TypeMethadone Clinic Otp
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorMatthew Wachsman
Laboratory Phone(443) 402-0612
Laboratory LocationBel Air Recovery Center, LLC2014 S Tollgate Rd Suite 106, Bel Air, MD 21015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Methadone)
2014 S TOLLGATE RD STE 106
BEL AIR, MD 21015

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 Bel Air Recovery Center, LLC's NPI number?

The NPI number for Bel Air Recovery Center, LLC is 1396300398. It was assigned to this organization in the NPPES registry on May 6, 2019.

Where is Bel Air Recovery Center, LLC located?

Bel Air Recovery Center, LLC is located at 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015. The listed phone number is (443) 402-0612.

What is Bel Air Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Bel Air Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2170629) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bel Air Recovery Center, LLC was last updated on January 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.