Sacred Heart Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

16018 Issued in MD

Legal business name

SACRED HEART HOME

Practice address

5805 Queens Chapel Rd
Hyattsville, MD 20782-3898

Phone

(301) 277-6500

Fax

(301) 277-3181

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Sister Vacha Kludziak

Title

Administrator

Phone

(301) 277-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asima S. Cheema, M.D

  • Hospitalist Physician
  • Ashton, MD
  • NPI 1144583808
  NPD (past)
• Nurul Amin Chowdhury, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kensington, MD
  • NPI 1093738635
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1538159595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823898",
            "telephone_number": "301-277-6500",
            "fax_number": "301-277-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823898",
            "telephone_number": "301-277-6500",
            "fax_number": "301-277-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "KLUDZIAK",
        "authorized_official_first_name": "SISTER VACHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-277-6500"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "16018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166737800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S V L Pharma Inc
• S.K. Harding, DDS, P.C.
• S.Olani Yarl
• Felix Sabum
• Julia D Sachs, LCSW, LCSW-C
• Sacred Mountains Limited Liability Company
• Rachele Kamwa Sadjo
• Kamaladdin Saei
• Safe Harbor Christian Counseling
• Safe Journey House

• All providers in Hyattsville, MD
• Nursing Facility/Intermediate Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.