CONCERTED CARE GROUP HAGERSTOWN LLC
NPI 1518730480
Clinic/Center - Rehabilitation, Substance Use Disorder in Hagerstown, MD

Active since November 02, 2023CLIA 21D2315548 · Waiver
10354 SUPERCENTER DRIVE, HAGERSTOWN, MD 21740(667) 239-3293 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Concerted Care Group Hagerstown Llc NPPES

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

CONCERTED CARE GROUP HAGERSTOWN LLC (NPI 1518730480) is a healthcare organization registered as a rehabilitation, substance use disorder in Hagerstown, Maryland and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Keonna Armstrong, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1518730480
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONCERTED CARE GROUP HAGERSTOWN LLC
Location Address10354 SUPERCENTER DRIVEHagerstown, MD 21740-9724
Mailing Address3905 National Dr Ste 200Burtonsville, MD 20866-6143 · (667) 239-3293
Organization SubpartYesParent: Ccg Holdco Llc
Authorized OfficialKeonna ArmstrongVp Of Revenue Cycle Management · (240) 813-9867
Enumeration DateNovember 2, 2023
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1518730480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
10354 SUPERCENTER DRIVE, Hagerstown, MD 21740

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 21D2315548

Concerted Care Group Hagerstown · Hagerstown, MD
Active · expires Dec 15, 2026
CLIA Number21D2315548
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDr. Erika Kane
Laboratory Phone(240) 347-4900
Laboratory LocationConcerted Care Group Hagerstown10354 Supercenter Drive, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
10354 SUPERCENTER DRIVE
HAGERSTOWN, MD 21740
Clinic/Center (Rehabilitation, Substance Use Disorder)
10354 SUPERCENTER DRIVE
HAGERSTOWN, MD 21740

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 Concerted Care Group Hagerstown LLC's NPI number?

The NPI number for Concerted Care Group Hagerstown LLC is 1518730480. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Concerted Care Group Hagerstown LLC located?

Concerted Care Group Hagerstown LLC is located at 10354 Supercenter Drive, Hagerstown, MD 21740. The listed phone number is (667) 239-3293.

What is Concerted Care Group Hagerstown LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Concerted Care Group Hagerstown LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2315548) is associated with this NPI, valid through December 15, 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 Concerted Care Group Hagerstown LLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.