Provider Demographics
NPI:1194734251
Name:THE ARC OF WASHINGTON COUNTY, INC.
Entity type:Organization
Organization Name:THE ARC OF WASHINGTON COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN SCOYOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-733-3550
Mailing Address - Street 1:820 FLORIDA AVENUE
Mailing Address - Street 2:
Mailing Address - City:HAGERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-733-3550
Mailing Address - Fax:301-745-5573
Practice Address - Street 1:820 FLORIDA AVENUE
Practice Address - Street 2:
Practice Address - City:HAGERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:301-733-3550
Practice Address - Fax:301-745-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320700000X, 320800000X, 320900000X, 322D00000X, 385H00000X, 251C00000X, 261QC1500X, 320600000X
MD261QC1500X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No385H00000XRespite Care FacilityRespite Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD225593600Medicaid
MD356902100OtherMAPS MD
MD405578100Medicaid
MD730113800Medicaid
MD792402000Medicaid