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INNOVO DETOX
NPI 1801427687
Substance Abuse Rehabilitation Facility in Abbottstown, PA

Active since January 30, 2020CLIA 39D2213233 · Waiver
7007 YORK RD, ABBOTTSTOWN, PA 17301(410) 773-0500 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jan 30, 2020 (2 updates tracked since 2020).

About Innovo Detox NPPES

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

INNOVO DETOX (NPI 1801427687) is a healthcare organization registered as a substance abuse rehabilitation facility in Abbottstown, Pennsylvania and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Samuel Bierman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801427687
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePOLARIS DETOX LLC
Location Address7007 YORK RDAbbottstown, PA 17301-9774
Mailing Address8600 Lasalle Rd., Suite 212Towson, MD 21286 · (410) 773-0500 · Fax (410) 773-0499
Phone(410) 773-0500
Organization SubpartNo
Authorized OfficialSamuel BiermanCeo · (410) 773-0500
Enumeration DateJanuary 30, 2020
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1801427687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
7007 YORK RD, Abbottstown, PA 17301
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Other Names 1

Doing Business AsInnovo Detox

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 39D2213233

Polaris Detox, LLC D/B/A Innovo Detox · Abbottstown, PA
Active · expires Feb 10, 2027
CLIA Number39D2213233
Laboratory TypeInpatient Detox
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorDr. Ryan J. Wakim
Laboratory Phone(717) 864-8729
Laboratory LocationPolaris Detox, LLC D/B/A Innovo Detox7007 York Road, Abbottstown, PA 17301
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 3

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

XZAVIER HUNTER
Custodial Care Facility (Adult Care Home)
7007 YORK RD
ABBOTTSTOWN, PA 17301
Adams County (717) 619-7634
TRIUNE TRANSPORTATION SERVICES, LLC
Non-emergency Medical Transport (VAN)
7007 YORK RD
ABBOTTSTOWN, PA 17301
Adams County (717) 434-2903
JIHRA MEADOWS, LLC
Custodial Care Facility (Adult Care Home)
7007 YORK RD
ABBOTTSTOWN, PA 17301
Adams County (717) 619-7634

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 Polaris Detox LLC's NPI number?

The NPI number for Polaris Detox LLC is 1801427687. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Innovo Detox.

Where is Polaris Detox LLC located?

Polaris Detox LLC is located at 7007 York Rd, Abbottstown, PA 17301. The listed phone number is (410) 773-0500.

What is Polaris Detox LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Polaris Detox LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2213233) is associated with this NPI, valid through February 10, 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 Polaris Detox LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.