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ALTA HEALTHCARE SERVICES, INC.
NPI 1821789389
Clinic/Center - Rehabilitation in Gaithersburg, MD

Active since May 16, 2023
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877(240) 801-9818(240) 801-9819 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2023, May 16, 2023 (2 updates tracked since 2023).

About Alta Healthcare Services, Inc. NPPES

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

ALTA HEALTHCARE SERVICES, INC. (NPI 1821789389) is a healthcare organization registered as a rehabilitation in Gaithersburg, Maryland and active in the NPI registry since May 2023. The organization lists Hannah Dibonge, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821789389
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameALTA HEALTHCARE SERVICES, INC.
Location Address101 LAKEFOREST BLVD STE 250Gaithersburg, MD 20877-2633
Mailing Address101 Lakeforest Blvd Ste 250Gaithersburg, MD 20877-2633 · (240) 801-9818 · Fax (240) 801-9819
Phone(240) 801-9818
Fax(240) 801-9819
Organization SubpartNo
Authorized OfficialHannah DibongeAdministrator · (301) 540-8230
Enumeration DateMay 16, 2023
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1821789389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
101 LAKEFOREST BLVD STE 250, Gaithersburg, MD 20877
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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)

Alta Healthcare Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alta Healthcare Services, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Kasheria West, PMHNP
Nurse Practitioner
NPI 1790475325
10705 CHARTER DR STE 430
Columbia, MD 21044
(301) 259-3574
✔ PECOS✔ Accepts Medicare18 mi
Evlyn Billy Eko, PMHNP-BC
Nurse Practitioner
NPI 1427756584
5602 BALTIMORE NATIONAL PIKE STE 507
Catonsville, MD 21228
(443) 870-4608
✔ PECOS28 mi
Rose Beteck, PH.D, LCSW-C
Clinical Social Worker
NPI 1386425502
9164 NEW BRIDGE DR
Delmar, MD 21875
(410) 603-9977
✔ PECOS100 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 Alta Healthcare Services, Inc.'s NPI number?

The NPI number for Alta Healthcare Services, Inc. is 1821789389. It was assigned to this organization in the NPPES registry on May 16, 2023.

Where is Alta Healthcare Services, Inc. located?

Alta Healthcare Services, Inc. is located at 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877. The listed phone number is (240) 801-9818.

What is Alta Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Alta Healthcare Services, Inc. enrolled in Medicare?

Yes. Alta Healthcare Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alta Healthcare Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Alta Healthcare Services, Inc., in Clinical Social Worker and Nurse Practitioner. 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 Alta Healthcare Services, Inc. was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.