HMR of Maryland LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

18-004 Issued in MD

Legal business name

HMR OF MARYLAND LLC

Doing business as

CHARLOTTE HALL VETERANS HOME

Practice address

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042

Phone

(301) 884-8171

Fax

(301) 884-4964

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John M. Twitty, CPA

Title

VP & Cfo

Phone

(864) 269-3725

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHARLOTTE HALL VETERANS HOME Doing business as

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1821015876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST # 1000",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215663",
            "telephone_number": "864-224-3898",
            "fax_number": "864-295-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29449 CHARLOTTE HALL RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223042",
            "telephone_number": "301-884-8171",
            "fax_number": "301-884-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMR OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TWITTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "864-269-3725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "18-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7142021 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLOTTE HALL VETERANS HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHARLOTTE HALL VETERANS HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Graupman
• Mary Diane Grove, CSC-AD
• Hae Sook Kim DMD LLC
• Lisa McLeod Hamilton, LAC RN
• Thomas Hao, D.D.S.
• Jennifer Houck, PTA
• Shelby Jacobs, NP
• Katherine Jane Janicek, M.S. CCC-SLP
• Angela Rose Johannes, C.R.N.P.
• Natasha Johnson, M.D.

• Skilled Nursing Facility in Charlotte Hall, MD
• Providers in Charlotte Hall, 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 Mar 23, 2023; 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.