Carriage Hill - Bethesda, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15-021 Issued in MD

Legal business name

CARRIAGE HILL - BETHESDA, INC.

Doing business as

Carriage Hill - Bethesda

Practice address

5215 W Cedar LN
Bethesda, MD 20814-1500

Phone

(301) 897-5500

NPI assigned

Jun 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Jarboe, N.H.A.

Title

Administrator

Phone

(301) 897-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carriage Hill - Bethesda Doing business as

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417959719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141500",
            "telephone_number": "301-897-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141500",
            "telephone_number": "301-897-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE HILL - BETHESDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARBOE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-897-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "15-021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Hill - Bethesda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Carr, M.A.-CCC-SLP
• Molly Foote Carr, CRNP
• Russell Bryant Carr, M.D.
• Jamie T Carreno Davidson, PHD
• Leslie Carrese, LCSW-C
• Carriage Hill Opco LLC
• Matthew Kenneth Carrillo
• Nuria Carrillo, M.D.
• Anfeni Carroll
• Martha Carroll, PT

• Skilled Nursing Facility in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.