NPIMap

Organization Active NPI

Charles County Nursing and Rehabilitation Center, Inc.

  • In Home Supportive Care Agency
  • La Plata, MD
National Provider Identifier
1376081729
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R3852 Issued in MD
Legal business name
CHARLES COUNTY NURSING AND REHABILITATION CENTER, INC.
Practice address
10200 Laplata Rd
La Plata, MD 20646-3245
Phone
(301) 753-3297
NPI assigned
Feb 6, 2017
Organization subpart
Yes
Parent organization
FAMILY OF CARE ALLIANCE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. William Morris Holman Jr.
Title
President/Ceo
Phone
(301) 753-3297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R3852 MD Primary

Addresses

Primary practice location

10200 Laplata Rd
La Plata, MD 20646-3245

Mailing address

10200 Laplata Rd
La Plata, MD 20646-3245
Phone (301) 753-3297

Other names 1

  • Sagepoint Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charles County Nursing and Rehab Ctr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1376081729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 LAPLATA RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463245",
            "telephone_number": "301-753-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 LAPLATA RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463245",
            "telephone_number": "301-753-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES COUNTY NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY OF CARE ALLIANCE, INC.",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-753-3297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagepoint Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.