MEDICARE: FOREST GLEN RECOVERY HOUSE, CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1285592352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST GLEN RECOVERY HOUSE, CORP

Provider Business Mailing Address
First Line	:	1523 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1523 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1405
Country	:	US
Telephone Number	:	804-433-7084
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RAY DORSEY
Credential	:
Telephone Number	:	804-433-7084

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

Similar Medicare Providers

1679429245 — THERESE DJITHE
Practice Location Address:

1405 JACKSON RD
SILVER SPRING, MD
20904-2119

Practice Phone: 240-355-3362
Practice Fax:

1134233018 — TAMARA LU FELEGY M.P.T.
Practice Location Address:

1405 SILVER LAKE RD NW , SUITE 8
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-206-9702
Practice Fax:

1568543080 — MS. KATHY ANN DIXON LPC
Practice Location Address:

1405 SILVER LAKE RD NW STE 17
NEW BRIGHTON, MN
55112-9309

Practice Phone: 763-300-9829
Practice Fax: 612-814-0671

1629117452 — AMETHYST COUNSELING SERVICES, INC.
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

1922130053 — MR. JOSEPH MICHAEL BIANCARDI M.A., L.P.
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 763-567-8109
Practice Fax:

1487829677 — TIMOTHY A RICE LADC
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

Directions to “FOREST GLEN RECOVERY HOUSE, CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.