Heart for Life Inc Heart for Life Healthcare Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R3563 Issued in MD

Legal business name

HEART FOR LIFE INC HEART FOR LIFE HEALTHCARE SERVICE

Practice address

13992 Baltimore Ave
Suite 207
Laurel, MD 20707-5010

Phone

(240) 293-6741

Fax

(240) 293-6724

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Gladys Acheampong-Aning

Title

Ceo

Phone

(240) 293-6741

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1710237177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14138 CASTLE BLVD",
            "address_2": "301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044632",
            "telephone_number": "240-293-6741",
            "fax_number": "240-293-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13992 BALTIMORE AVE",
            "address_2": "SUITE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075010",
            "telephone_number": "240-293-6741",
            "fax_number": "240-293-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART FOR LIFE INC HEART FOR LIFE HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "ACHEAMPONG-ANING",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-293-6741"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3563",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "110501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8142033-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.