SAFE HARBOR AT MOUNTAIN MANOR
NPI 1558318329
Substance Abuse Rehabilitation Facility in Emmitsburg, MD
- Organization
- Substance Abuse Rehabilitation Facility
About SAFE HARBOR AT MOUNTAIN MANOR
This page provides the complete NPI Profile along with additional information for Safe Harbor At Mountain Manor, a provider established in Emmitsburg, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1558318329 assigned on May 2006. The practitioner's primary taxonomy code is 324500000X with license number 13332 (MD). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Safe Harbor At Mountain Manor. The authorized official of this NPI record is Mr. William J Roby Mba (Executive Vice President)
- NPI
- 1558318329 Verify this NPI
- Provider Legal Name
- POTOMAC HEALTHCARE FOUNDATION, LTD
- Other Organization Name
- SAFE HARBOR AT MOUNTAIN MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9701 KEYSVILLE RD EMMITSBURG, MD 21727
- Location Phone
- (301) 447-2361
- Location Fax
- (301) 447-3673
- Mailing Address
- 9701 KEYSVILLE RD EMMITSBURG, MD 21727
- Mailing Phone
- (301) 447-2361
- Mailing Fax
- (301) 447-3673
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 03-15-2011
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 13332
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | (MD) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | (MD) |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | (MD) |
| 4 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | (MD) |
| 5 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | (MD) |
| 6 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (MD) |
| 7 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (MD) |
| 8 | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (MD) |
| 9 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | (MD) |
| 10 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 342200300 | MEDICAID (05) | MD |
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
EMMITSBURG, MD 21727
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558318329, enumerated as an "organization" on May 27, 2006.
The provider is located at 9701 KEYSVILLE RD EMMITSBURG, MD 21727 and the phone number is (301) 447-2361.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
