C and C Loving Heart Health Care Agency

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R158240 Issued in MD

Legal business name

C AND C LOVING HEART HEALTH CARE AGENCY

Practice address

5122 Crest Haven Way
Perry Hall, MD 21128

Phone

(410) 256-5710

Fax

(410) 256-6052

NPI assigned

Jun 27, 2018

Last updated

Jun 9, 2021By 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. Christie Simon-Waterman, CRNPNPI 1558606343

Title

Owner/Administrator

Phone

(443) 867-7471

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christie Simon-Waterman, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Nottingham, MD
  • NPI 1558606343
  NPD Authorized official

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1043705502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CREST HAVEN WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289793",
            "telephone_number": "410-256-5710",
            "fax_number": "410-256-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 CREST HAVEN WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "21128",
            "telephone_number": "410-256-5710",
            "fax_number": "410-256-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND C LOVING HEART HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMON-WATERMAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "443-867-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R158240",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olivia Cheikh

• Nursing Care Agency in Perry Hall, MD
• Providers in Perry Hall, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.