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4 2 RESTORE LLC
NPI 1427661883
Community/Behavioral Health in Windsor Mill, MD

Active since August 26, 2020
3527 N ROLLING RD STE 4, WINDSOR MILL, MD 21244(410) 701-9190(410) 701-7483 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2020, Oct 9, 2020, Aug 26, 2020 (3 updates tracked since 2020).

About 4 2 Restore Llc NPPES

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

4 2 RESTORE LLC (NPI 1427661883) is a healthcare organization registered as a community/behavioral health in Windsor Mill, Maryland and active in the NPI registry since August 2020. The organization lists Deadra Monique Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427661883
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business Name4 2 RESTORE LLC
Location Address3527 N ROLLING RD STE 4Windsor Mill, MD 21244-2256
Mailing Address3527 N Rolling Rd Ste 4Windsor Mill, MD 21244-2256 · (410) 701-9190 · Fax (410) 701-7483
Phone(410) 701-9190
Fax(410) 701-7483
Organization SubpartNo
Authorized OfficialDeadra Monique MartinCeo · (410) 701-9190
Enumeration DateAugust 26, 2020
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1427661883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
3527 N ROLLING RD STE 4, Windsor Mill, MD 21244
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

4 2 Restore Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 4 2 Restore LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Mauro, PMHNP-BC
Nurse Practitioner
NPI 1154915387
1200 E JOPPA RD STE A
Towson, MD 21286
(443) 798-7707
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 2 Restore LLC's NPI number?

The NPI number for 4 2 Restore LLC is 1427661883. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is 4 2 Restore LLC located?

4 2 Restore LLC is located at 3527 N Rolling Rd Ste 4, Windsor Mill, MD 21244. The listed phone number is (410) 701-9190.

What is 4 2 Restore LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is 4 2 Restore LLC enrolled in Medicare?

Yes. 4 2 Restore LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 4 2 Restore LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 4 2 Restore LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 4 2 Restore LLC was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.