MOUNTAIN MANOR TREATMENT CENTER
NPI 1871949487
Substance Abuse Rehabilitation Facility in Emmitsburg, MD
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 21D0994342
- CLIA Cert. Type: Other - SUD TREATMENT PROGRAM
- CLIA Exp. Date: 11-20-2026
About MOUNTAIN MANOR TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Mountain Manor Treatment Center, a provider established in Emmitsburg, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1871949487 assigned on May 2016. The practitioner's primary taxonomy code is 324500000X with license number 13953 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mountain Manor Treatment Center. The authorized official of this NPI record is Sarah Bolek (Contracts Coordinator)
- NPI
- 1871949487 Verify this NPI
- Provider Legal Name
- MARYLAND TREATMENT CENTERS, INC.
- Other Organization Name
- MOUNTAIN MANOR TREATMENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9701 KEYSVILLE RD EMMITSBURG, MD 21727
- Location Phone
- (301) 447-2360
- Location Fax
- (301) 447-3673
- Mailing Address
- 3800 FREDERICK AVE BALTIMORE, MD 21229
- Mailing Phone
- (410) 233-1400
- Mailing Fax
- (410) 233-1666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-12-2016
- Last Update Date
- 05-12-2016
- 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.
- 13953
- 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.
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 |
|---|---|---|---|
| 13953 | OTHER (01) | MD | LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0994342
- Facility Type
- Other - SUD TREATMENT PROGRAM
- Certificate Effective Date
- November 21, 2024
- Certificate Expiration Date
- November 20, 2026
- Laboratory Director
- MARC J. FISHMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountain Manor Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MOUNTAIN MANOR TREATMENT CENTER
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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 1871949487, enumerated as an "organization" on May 12, 2016.
The provider is located at 9701 KEYSVILLE RD EMMITSBURG, MD 21727 and the phone number is (301) 447-2360.
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.
