Heartland Health Care Center Adelphi

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

16012 Issued in MD

Legal business name

HEARTLAND HEALTH CARE CENTER ADELPHI

Practice address

1801 Metzerott Rd
Adelphi, MD 20783-5101

Phone

(301) 434-0500

Fax

(301) 434-6311

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles R Woodberry Jr.

Title

Administrator

Phone

(301) 434-0500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1154440667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 METZEROTT RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835101",
            "telephone_number": "301-434-0500",
            "fax_number": "301-434-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 METZEROTT RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835101",
            "telephone_number": "301-434-0500",
            "fax_number": "301-434-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HEALTH CARE CENTER ADELPHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-434-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "16012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413513000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037538100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Adina Grossman
• Janine Gutierrez
• Gladys Gwanmesia
• Ann M Harvey, DDS
• Kia M. Haselrig-Oparah
• Heartland of Adelphi MD LLC
• Jean Claude Hemou
• Francis Henry
• Mabiama Hermionnes
• Isabella Magee Heyden

• Nursing Facility/Intermediate Care Facility in Adelphi, MD
• Providers in Adelphi, MD by specialty
• Nursing Facility/Intermediate Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.