Holy Cross Carenet Inc

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

15-071 15633 Issued in MD

Legal business name

HOLY CROSS CARENET INC

Doing business as

Holy Cross Rehabilitation and Nursing Center

Practice address

3415 Greencastle Rd
Burtonsville, MD 20866-1715

Phone

(301) 388-1400

Fax

(301) 879-4512

NPI assigned

Oct 11, 2006

Last updated

Jun 26, 2008By 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

Jackie Harris

Title

Ceo

Phone

(248) 305-7688

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Holy Cross Rehabilitation and Nursing Center Doing business as

Tax ID family

Holy Cross Carenet Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holy Cross Carenet Inc

  dba Sanctuary at Holy Cross Burtonsville

  • Skilled Nursing Facility
  • Burtonsville, MD
  • NPI 1962935494
  NPD tax ID

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1124117023",
    "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": "248-305-7919",
            "fax_number": "248-305-7677"
        },
        {
            "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": "2006-10-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-305-7688"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MD",
            "license": "15-071 15633",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404789300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulette Theresa Hendricks, LCSW-C
• Kelsey Lynn Hieb, MS, ATC, LAT
• Jacquelyn Hoang
• Holy Cross Anesthesiology Associate PA
• Holy Cross Carenet Inc (Sanctuary at Holy Cross Burtonsville)
• Holy Cross Carenet Inc (Sanctuary at Holy Cross Burtonsville)
• Emily Hsieh
• Barbara Huddleston, OT
• Don R Hyun
• Image Dental Care LLC

• Nursing Facility Supplies (DME) in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Nursing Facility Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.