Organization Active NPI

Holy Cross Carenet Inc

Doing business as Sanctuary at Holy Cross Burtonsville

  • Skilled Nursing Facility
  • Burtonsville, MD
National Provider Identifier
1023102019
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
15-071 15633 Issued in MD
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9511016 00MedicaidMD
41700900MedicaidMD

Other names 1

  • Sanctuary at Holy Cross Burtonsville Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.