Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

11100 Billingsley Road Opco LLC

Substance Abuse Rehabilitation Facility in Waldorf, MD · enumerated 2018 · authorized official Serge Cruz, Corp Dir Patient Accounts.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073021853

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Registry record

Entity type Organization (Type 2)

Legal business name 11100 Billingsley Road Opco LLC

Practice address 11100 Billingsley Rd, Waldorf, MD, 20602

Phone (240) 754-6100

Enumeration date Jan 16, 2018

Last updated in NPPES Oct 16, 2026

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Serge Cruz

Title Corp Dir Patient Accounts

Phone (610) 427-9434

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is 11100 Billingsley Road Opco LLC?

11100 Billingsley Road Opco LLC is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Rebecca Marvin Professional Counselor · Waldorf, MD NPI 1508455775 Catherine Costantino Family Nurse Practitioner · Waldorf, MD NPI 1942977673 Ashleigh Byers Registered Nurse · Waldorf, MD NPI 1114670114 Kelley Mattingly Clinical Social Worker · Waldorf, MD NPI 1457096059 Unequa Helton Addiction (Substance Use Disorder) Counselor · Waldorf, MD NPI 1124726948 Wykenna Vailor Addiction (Substance Use Disorder) Counselor · Waldorf, MD NPI 1790469377 Sarah Persinger Registered Nurse · Waldorf, MD NPI 1366120156 Kent Alford Addiction Medicine (Preventive Medicine) Physician · Waldorf, MD NPI 1679252597

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-10-16.