Active NPI
Holy Cross Carenet Inc
Doing business as Sanctuary at Holy Cross Burtonsville
- Skilled Nursing Facility
- Burtonsville, MD
National Provider Identifier
1023102019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15-071 15633
- Legal business name
- HOLY CROSS CARENET INC
- Doing business as
- Sanctuary at Holy Cross Burtonsville
- Practice address
- 3415 Greencastle Rd
Burtonsville, MD 20866-1715 - Phone
- (301) 388-1400
- Fax
- (301) 879-4512
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ken Robbins
- Title
- Ceo
- Phone
- (734) 542-8348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 15-071 15633 | MD | Primary |
Addresses
Primary practice location
3415 Greencastle Rd
Burtonsville, MD 20866-1715
Mailing address
PO Box 9184
Farmington Hills, MI 48333-9184
Phone (734) 542-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9511016 00 | Medicaid | MD | |
| 41700900 | Medicaid | MD |
Other names 1
- Sanctuary at Holy Cross Burtonsville
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Fraser Villa
- Skilled Nursing Facility
- Fraser, MI
- NPI 1467546655
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301356800000",
"number": "1023102019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9184",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483339184",
"telephone_number": "734-542-8300",
"fax_number": "734-542-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 GREENCASTLE RD",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661715",
"telephone_number": "301-388-1400",
"fax_number": "301-879-4512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY CROSS CARENET INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2011-03-29",
"status": "A",
"authorized_official_last_name": "ROBBINS",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "734-542-8348"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "15-071 15633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9511016 00",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41700900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanctuary at Holy Cross Burtonsville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burtonsville, MD
- Helper, L.L.C.
- Paulette Theresa Hendricks, LCSW-C
- Kelsey Lynn Hieb, MS, ATC, LAT
- Jacquelyn Hoang
- Holy Cross Anesthesiology Associate PA
- Holy Cross Carenet Inc (Holy Cross Rehabilitation and Nursing Center)
- Holy Cross Carenet Inc (Sanctuary at Holy Cross Burtonsville)
- Emily Hsieh
- Barbara Huddleston, OT
- Don R Hyun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.