Active NPI
Hearts CPR, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Waldorf, MD
National Provider Identifier
1407335474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- HEARTS CPR, LLC
- Practice address
- 2923 Cassidy PL
Waldorf, MD 20601-3767 - Phone
- (571) 348-2356
- Fax
- (866) 536-2263
- NPI assigned
- Aug 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lukisha N King
- Title
- Executive Director
- Phone
- (571) 348-2356
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | FL | ||
| In Home Supportive Care Agency | 253Z00000X | FL | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | FL | Primary | |
| Personal Care Attendant | 3747P1801X | FL | ||
| Child Mental Illness Respite Care | 385HR2055X | FL | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | FL | ||
| Child Physical Disabilities Respite Care | 385HR2065X | FL |
Addresses
Primary practice location
2923 Cassidy PL
Waldorf, MD 20601-3767
Mailing address
2923 Cassidy PL
Waldorf, MD 20601-3767
Phone (571) 348-2356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021433100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782000000000",
"number": "1407335474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 CASSIDY PL",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013767",
"telephone_number": "571-348-2356",
"fax_number": "866-536-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 CASSIDY PL",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013767",
"telephone_number": "571-348-2356",
"fax_number": "866-536-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTS CPR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-10",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "LUKISHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "571-348-2356",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021433100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Healthways
- Hearing Professionals of Waldorf, Inc
- Heart Center of Southern Maryland
- Heart Center of Southern Maryland LLP
- Heart Center of Southern Maryland, L.L.P.
- Heavenly Care Solutions LLC
- Heavenly Helpers Home Health Services
- Annick Payong Chima Hebou, MD
- Reese Mordechai Hebrank, LCSW-C
- Heffner and Aguto Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.