NPIMap

Organization Active NPI

Frederick Heritage Partners, LLC

  • Assisted Living Facility
  • Frederick, MD
National Provider Identifier
1265592166
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FREDERICK HERITAGE PARTNERS, LLC
Practice address
2100 Whittier Drive
Frederick, MD 21702
Phone
(301) 668-3930
Fax
(301) 668-3931
NPI assigned
Dec 11, 2006
Organization subpart
Yes
Parent organization
FREDERICK HERITAGE PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Francis Murphy
Title
Chief Financial Officer
Phone
(617) 796-8273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 17503 MD
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2100 Whittier Drive
Frederick, MD 21702

Mailing address

400 Centre Street
Newton, MA 02458
Phone (617) 796-8160

Other identifiers 1

IdentifierTypeStateIssuer
410621100MedicaidMD

Other names 1

  • Somerford Place-Frederick Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederick Heritage Partners LLC2 organizations share this tax ID, including this one
Part of
Frederick Heritage Partners LLC

Other organizations with this tax ID 1

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

Locations

2100A Whittier Dr
Frederick, MD 21702

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1265592166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-796-8160",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WHITTIER DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-668-3930",
            "fax_number": "301-668-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK HERITAGE PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HERITAGE PARTNERS, LLC",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-796-8273"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "17503",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410621100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerford Place-Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.