Provider Demographics
NPI:1598259095
Name:MARYLAND HEALTH OPERATIONS LLC
Entity Type:Organization
Organization Name:MARYLAND HEALTH OPERATIONS LLC
Other - Org Name:NEWPORT ACADEMY-ROCKVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROCOPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-432-4622
Mailing Address - Street 1:L-4045
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-4045
Mailing Address - Country:US
Mailing Address - Phone:714-202-5166
Mailing Address - Fax:844-721-8190
Practice Address - Street 1:12300 TWINBROOK PKWY STE 250
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1606
Practice Address - Country:US
Practice Address - Phone:240-669-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder