NPIMap

Organization Active NPI

Adventist Healthcare

Doing business as Adventist Home Assistance

  • Nurse's Aide
  • Silver Spring, MD
National Provider Identifier
1124277561
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
R1033 Issued in MD
Legal business name
ADVENTIST HEALTHCARE
Doing business as
Adventist Home Assistance
Practice address
12041 Bournefield Way
Suite B
Silver Spring, MD 20904-7907
Phone
(301) 592-4500
Fax
(301) 592-4406
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mr. Keith Dominic Ballenger
Title
Vice President
Phone
(301) 592-4409

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X R1033 MD Primary
Registered Nurse 163W00000X R1033 MD
Licensed Practical Nurse 164W00000X R1033 MD

Addresses

Primary practice location

12041 Bournefield Way
Suite B
Silver Spring, MD 20904-7907

Mailing address

12041 Bournefield Way
Suite B
Silver Spring, MD 20904-7907
Phone (301) 592-4500

Other names 1

  • Adventist Home Assistance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Healthcare15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIFAD

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1124277561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 BOURNEFIELD WAY",
            "address_2": "SUITE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047907",
            "telephone_number": "301-592-4500",
            "fax_number": "301-592-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 BOURNEFIELD WAY",
            "address_2": "SUITE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047907",
            "telephone_number": "301-592-4500",
            "fax_number": "301-592-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "BALLENGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-592-4409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "R1033",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R1033",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "R1033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Home Assistance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.