Organization Active NPI

Harmony at Waldorf

  • Assisted Living Facility
  • Waldorf, MD
National Provider Identifier
1306750443
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HARMONY AT WALDORF
Practice address
11239 Berry Rd
Waldorf, MD 20603-6048
Phone
(301) 818-6900
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Mr. Jason Dynak
Title
Licensing Coordinator
Phone
(843) 793-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

11239 Berry Rd
Waldorf, MD 20603-6048

Mailing address

4423 Pheasant Ridge Rd Ste 201
Roanoke, VA 24014-5300
Phone (540) 774-7762

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2256828Waldorf Operation LLC Dba Harmony at Waldorf11239 Berry Road, Waldorf, MD 20603Certificate of waiverMar 28, 2028

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1306750443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PHEASANT RIDGE RD STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145300",
            "telephone_number": "540-774-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 BERRY RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206036048",
            "telephone_number": "301-818-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY AT WALDORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "DYNAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "843-793-2551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.