Provider Demographics
NPI:1710406640
Name:REMED RECOVERY CARE CENTERS INC.
Entity type:Organization
Organization Name:REMED RECOVERY CARE CENTERS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTI AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-595-9300
Mailing Address - Street 1:16 INDUSTRIAL BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1609
Mailing Address - Country:US
Mailing Address - Phone:484-595-9300
Mailing Address - Fax:484-595-0377
Practice Address - Street 1:14001 NOTLEY RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1125
Practice Address - Country:US
Practice Address - Phone:484-595-9300
Practice Address - Fax:484-595-0377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMED HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-12
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320600000X, 320700000X, 320800000X, 261QR0400X
MDDD0389320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
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