Organization Active NPI

Hillhaven Healthcare Management, Inc.

Doing business as Hillhaven Assisted Living Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Adelphi, MD
National Provider Identifier
1184608408
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
16-008 Issued in MD
Legal business name
HILLHAVEN HEALTHCARE MANAGEMENT, INC.
Doing business as
Hillhaven Assisted Living Nursing and Rehabilitation Center
Practice address
3210 Powder Mill Rd
Adelphi, MD 20783-1029
Phone
(301) 937-3939
Fax
(301) 937-8798
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Charles Malin
Title
Cfo
Phone
(301) 937-3939

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 16AL0570 MD
Nursing Facility/Intermediate Care Facility 313M00000X 16-008 MD
Skilled Nursing Facility 314000000X 16-008 MD Primary

Addresses

Primary practice location

3210 Powder Mill Rd
Adelphi, MD 20783-1029

Mailing address

3210 Powder Mill Rd
Adelphi, MD 20783-1029
Phone (301) 937-3939

Other identifiers 1

IdentifierTypeStateIssuer
166557000MedicaidMD

Other names 1

  • Hillhaven Assisted Living Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1184608408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831029",
            "telephone_number": "301-937-3939",
            "fax_number": "301-937-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831029",
            "telephone_number": "301-937-3939",
            "fax_number": "301-937-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLHAVEN HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-937-3939"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0570",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "16-008",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166557000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillhaven Assisted Living Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.