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
251C00000X, 261QC1500X, 320600000X, 320700000X, 320800000X, 320900000X, 322D00000X, 385H00000X
MD251C00000X, 261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
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
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD225593600Medicaid
MD356902100OtherMAPS MD
MD405578100Medicaid
MD730113800Medicaid
MD792402000Medicaid