NPIMap

Organization Active NPI

Stella Maris Inc.

  • Community Based Hospice Care Agency
  • Timonium, MD
National Provider Identifier
1366559064
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
H1500 Issued in MD
Legal business name
STELLA MARIS INC.
Practice address
2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone
(410) 252-4500
Fax
(410) 252-0312
NPI assigned
Aug 25, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Ms. Karen Claiborne
Title
Accounts Receivable Supervisor-HHC
Phone
(410) 252-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X H1500 MD Primary

Addresses

Primary practice location

2300 Dulaney Valley Rd
Timonium, MD 21093-2739

Mailing address

2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (410) 252-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001499 MD Part A Provider - Hospice 9335139955 Practice locations: Timonium, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366559064. Details of each certification follow.

Hospice certification: CCN 211500

Legal name
STELLA MARIS INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 18, 1983
Last certification
Mar 7, 2019
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1997 in MD
Enrollment address
2300 Dulaney Valley Road
Timonium, MD 21093-2739

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Stella Maris IncCCN 211500 · All quality measures
Ownership
Other
Certified
Nov 18, 1983
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Stella Maris Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Crystal Hickey Individual Corporate DirectorExecutive Director Jan 1, 2020 25%
Lisa Stone Individual Corporate DirectorSVP Operations/Administrator Jan 1, 2019 25%
Mercy Health Services Inc Organization, Baltimore, MD 5% Or Greater Direct Ownership Interest Jul 1, 1997
Stephen Stinnette Individual Corporate OfficerCfo Jul 3, 2005 50%
W-2 Managing EmployeeDirector - Sr VP Finance Cfo Jul 3, 2005

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1366559064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-252-4500",
            "fax_number": "410-252-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-252-4500",
            "fax_number": "410-252-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA MARIS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SERVICES INC",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "CLAIBORNE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR-HHC",
        "authorized_official_telephone_number": "410-252-4500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.