AVERY HALFWAY HOUSE – NPI #1821071176
Substance Abuse Rehabilitation Facility

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.

AVERY HALFWAY HOUSE is a substance abuse rehabilitation facility located in ROCKVILLE, MD. NPPES has assigned the NPI number 1821071176 to AVERY HALFWAY HOUSE on November 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. AVERY HALFWAY HOUSE is also known by the name CHRYSALIS HOUSE INC.. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERY HALFWAY HOUSE below.

NPI Profile for
AVERY HALFWAY HOUSE

NPI Number
1821071176
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERY HALFWAY HOUSE
Other Name: CHRYSALIS HOUSE INC.
Primary location
14705 AVERY RD
ROCKVILLE, MD 20853-3605
Phone: (301) 762-4651 Fax: (301) 762-4836
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LORENE LAKE
EXECUTIVE DIRECTOR
Phone: (410) 974-6829
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MD 9217

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.