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BOOTSIE CENTER, LLC
NPI 1730903220
Community/Behavioral Health in Port Republic, MD

Active since November 11, 2024
1925 SCIENTISTS CLIFFS RD, PORT REPUBLIC, MD 20676(410) 474-6546 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bootsie Center, Llc NPPES

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

BOOTSIE CENTER, LLC (NPI 1730903220), doing business as Bootsie Center, is a healthcare organization registered as a community/behavioral health in Port Republic, Maryland and active in the NPI registry since November 2024. The organization lists Rakeeda Commodore-jenkins, Lcsw-c, as its authorized official.

NPPES Registry Identity

NPI1730903220
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBOOTSIE CENTER, LLC
Location Address1925 SCIENTISTS CLIFFS RDPort Republic, MD 20676-2405
Mailing Address1925 Scientists Cliffs RdPort Republic, MD 20676-2405 · (410) 474-6546
Phone(410) 474-6546
Organization SubpartNo
Authorized OfficialRakeeda Commodore-jenkinsLcsw-c · (410) 474-6546
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1730903220 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.
1925 SCIENTISTS CLIFFS RD, Port Republic, MD 20676
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Other Names 1

Doing Business AsBootsie Center

Other Providers at the Same Location NPPES

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

RAKEEDA COMMODORE
Social Worker (Clinical)
1925 SCIENTISTS CLIFFS RD
PORT REPUBLIC, MD 20676
Calvert County (410) 474-6546

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 Bootsie Center, LLC's NPI number?

The NPI number for Bootsie Center, LLC is 1730903220. It was assigned to this organization in the NPPES registry on November 11, 2024. The provider is doing business as Bootsie Center.

Where is Bootsie Center, LLC located?

Bootsie Center, LLC is located at 1925 Scientists Cliffs Rd, Port Republic, MD 20676. The listed phone number is (410) 474-6546.

What is Bootsie Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bootsie Center, LLC was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.