Organization Active NPI

Healing Vessels Inc

  • Pediatric Skilled Nursing Facility
  • Bowie, MD
National Provider Identifier
1669601746
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
R2767 Issued in MD
Legal business name
HEALING VESSELS INC
Practice address
911 Westlake Dr
Bowie, MD 20721-1850
Phone
(301) 333-5918
Fax
(301) 333-5918
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mrs. Evelyn Aituayuwa Omoregbee, REGISTERED NURSE
Title
Administrator
Phone
(301) 333-5918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X R2767 MD Primary

Addresses

Primary practice location

911 Westlake Dr
Bowie, MD 20721-1850

Mailing address

911 Westlake Drive
Bowie, MD 20721
Phone (301) 333-5918

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1669601746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WESTLAKE DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "301-333-5918",
            "fax_number": "301-333-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTLAKE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211850",
            "telephone_number": "301-333-5918",
            "fax_number": "301-333-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING VESSELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "OMOREGBEE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "AITUAYUWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-333-5918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MD",
            "license": "R2767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.