Sacred Heart Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SACRED HEART INC

Practice address

214 E Main St
Elkton, MD 21921-5797

Phone

(301) 617-2750

Fax

(301) 617-2751

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adeleke Otunuga

Title

Administrator

Phone

(301) 256-4642

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1033932157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 BRECKENRIDGE ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076935",
            "telephone_number": "301-256-4642",
            "fax_number": "301-617-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215797",
            "telephone_number": "301-617-2750",
            "fax_number": "301-617-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "OTUNUGA",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-256-4642",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.