IAFF CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH TREATMENT AND RECOVERY
NPI 1871949388
Substance Abuse Rehabilitation Facility in Upper Marlboro, MD

NPI Status: Active since May 13, 2016

Contact Information

13400 EDGEMEADE ROAD
UPPER MARLBORO, MD
ZIP 20772
Phone: (754) 300-3120
Fax: (888) 919-4431

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About IAFF CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH TREATMENT AND RECOVERY

This page provides the complete NPI Profile along with additional information for Iaff Center Of Excellence For Behavioral Health Treatment And Recovery, a provider established in Upper Marlboro, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1871949388 assigned on May 2016. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Iaff Center Of Excellence For Behavioral Health Treatment And Recovery. The authorized official of this NPI record is Belina Surujon (Licensing & Contracting Director)

NPI
1871949388
Provider Legal Name
THE RECOVERY VILLAGE MARYLAND, LLC
Other Organization Name
IAFF CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH TREATMENT AND RECOVERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13400 EDGEMEADE ROAD UPPER MARLBORO, MD 20772
Location Phone
(754) 300-3120
Location Fax
(888) 919-4431
Mailing Address
100 SE 3RD AVE SUITE 1800 FT LAUDERDALE, FL 33394
Mailing Phone
(754) 300-3120
Mailing Fax
(888) 919-4431
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2016
Last Update Date
06-17-2019
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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
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)
1323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

16-023 (MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BELINA SURUJON

Authorized Official Title
LICENSING & CONTRACTING DIRECTOR
Authorized Official Phone
(754) 300-3120

Reviews for IAFF CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH TREATMENT AND RECOVERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871949388
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2814118418316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 8 + 4 + 1 + 8 + 3 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1871949388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871949388, enumerated in the NPI registry as an "organization" on May 13, 2016

The provider is located at 13400 Edgemeade Road Upper Marlboro, Md 20772 and the phone number is (754) 300-3120

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 13, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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