OrganizationActive
Bootsie Center, LLC
NPI 1730903220 · Community/Behavioral Health Agency · Port Republic, MD
Bootsie Center, LLC is a Community/Behavioral Health Agency organization in Port Republic, MD (NPI 1730903220).
Provider details
- NPI number
- 1730903220
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rakeeda Commodore-Jenkins, Lcsw-C(410) 474-6546
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1925 Scientists Cliffs Rd
Port Republic, MD 20676-2405
Phone: (410) 474-6546
Street-level locationGet directions
Mailing address
1925 Scientists Cliffs Rd
Port Republic, MD 20676-2405
Other names (DBA / former)
- Doing business as
- Bootsie Center
Registry dates
- Enumerated
- 2024-11-11
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Bootsie Center, LLC's NPI number?
- Bootsie Center, LLC's National Provider Identifier (NPI) is 1730903220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bootsie Center, LLC?
- Bootsie Center, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Bootsie Center, LLC located?
- Bootsie Center, LLC's practice location on file with NPPES is 1925 Scientists Cliffs Rd, Port Republic, MD 20676-2405.
- What is Bootsie Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bootsie Center, LLC is (410) 474-6546.
- Who is the authorized official for Bootsie Center, LLC?
- The authorized official listed on Bootsie Center, LLC's NPPES record is Rakeeda Commodore-Jenkins, Lcsw-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bootsie Center, LLC's NPI active?
- Yes — Bootsie Center, LLC's NPI (1730903220) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.