SACRED HEART HOME (NPI# 1538159595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538159595 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOME |
| Practice Address |
5805 Queens Chapel Rd Hyattsville MD 20782-3898 |
| Practice Telephone | 3012776500 |
| Practice Fax Number | 3012773181 |
| Mailing Telephone | 3012776500 |
| Mailing Fax Number | 3012773181 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | SISTER VACHA KLUDZIAK (ADMINISTRATOR) |
| Authorized Official Telephone | 3012776500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 16018 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 166737800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994650 | Sacred Heart Home | Intermediate Care Facility, Mental Illness | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2006-10-10 |
| 1174518971 | Sacred Heart Home | Skilled Nursing Facility | 359 Summer St, New Bedford, MA 02740-5519 | 2005-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTH CARE | 1200 12th St Sw, Austin, MN 55912-2619 |
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTH, INC. | 2720 S River Rd Ste 144, Des Plaines, IL 60018-4106 |
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTHCARE LLC | 2737 E Greenway Rd Ste 6, Phoenix, AZ 85032-4391 |
| Colorado Business Entities | Sacred Heart Homes LLC | 1716 N. Main St., Unit A155, Longmont, CO 80501 |
| Street Address |
5805 QUEENS CHAPEL RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-3898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1003386780 | Post-acute Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 5009 Frankford Avenue, Baltimore, MD 21206-5353 | 2018-11-26 |
| 1215301973 | Premier Therapy Services | Nursing Facility/Intermediate Care Facility | 3203 University Blvd W Apt 22, Kensington, MD 20895-1817 | 2015-11-18 |
| 1114356516 | Metero Cars | Nursing Facility/Intermediate Care Facility | 7611 Riverdale Rd Apt 302, New Carrollton, MD 20784-3750 | 2013-11-06 |
| 1275882318 | Unique Qualities, LLC | Nursing Facility/Intermediate Care Facility | 7514 Martha St, District Heights, MD 20747-3621 | 2012-09-05 |
| 1598973448 | Linda L Powe | Nursing Facility/Intermediate Care Facility | 200 S Rock Glen Rd, Baltimore, MD 21229-3249 | 2007-05-21 |
| 1154449049 | Rainbow Adhc | Nursing Facility/Intermediate Care Facility | 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2007-03-27 |
| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1629013925 | Wicomico Nursing Home | Nursing Facility/Intermediate Care Facility | 900 Booth St, Salisbury, MD 21801-3006 | 2006-06-19 |
| 1245286368 | Villa Rosa Nursing Home | Nursing Facility/Intermediate Care Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.