Organization Active NPI

Holy Cross Health, Inc.

Doing business as Holy Cross Health Lab Outreach

  • Clinical Medical Laboratory
  • Silver Spring, MD
National Provider Identifier
1831574284
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
035 Issued in MD
Legal business name
HOLY CROSS HEALTH, INC.
Doing business as
Holy Cross Health Lab Outreach
Practice address
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone
(301) 754-7000
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLY CROSS HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Ms. Anne Gillis
Title
Cfo
Phone
(301) 754-7035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 035 MD Primary

Addresses

Primary practice location

1500 Forest Glen Rd
Silver Spring, MD 20910-1460

Mailing address

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Other identifiers 1

IdentifierTypeStateIssuer
0000435900MedicaidMD

Other names 1

  • Holy Cross Health Lab Outreach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826000950 MD Part A Provider - Hospital 3577473560 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver Spring, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831574284. Details of each certification follow.

Hospital certification: CCN 210004

Legal name
HOLY CROSS HEALTH, INC.
Doing business as
HOLY CROSS HOSPITAL, HOLY CROSS HOSPITAL OF SILVER SPRING, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 25, 1999
Beds
444 (422 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1959 in MD
Enrollment address
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Holy Cross HospitalCCN 210004 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0670639Anatomic & Clinical Path/Holy Cross1500 Forest Glen Road, Silver Spring, MD 20910AccreditationFeb 27, 2027
21D0914444Holy Cross Hospital/Acute Care Service1500 Forest Glen Road, Silver Spring, MD 20910AccreditationFeb 16, 2028

National Provider Directory

National Provider Directory
Part of
Cardio Holy Cross Hosp

Locations

11721 Woodmore Rd
Ste 190
Mitchellville, MD 20721
Phone (301) 390-7270

11800 Tech Rd
Silver Spring, MD 20904
Phone (301) 754-7740

11800 Tech Rd
Ste 240
Silver Spring, MD 20904
Phone (301) 498-2722

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marianne Grace Individual Corporate DirectorBoard Member Jan 1, 2025
Geraldine Hoyler Individual Corporate DirectorBoard Member Jan 1, 2026
James M Monihan Individual Corporate DirectorBoard Member Jan 1, 2025
Julie Keese Individual Corporate OfficerTreasurer Jul 16, 2025
W-2 Managing Employee Feb 1, 2017
Sandra Lynn Kweder Individual Corporate DirectorBoard Member Jan 1, 2024
Jacqueline a Watson Individual Corporate DirectorBoard Member Jan 1, 2020
Julie Washington Individual Corporate DirectorBoard Member Jan 1, 2025
Ajay K Gupta Individual Corporate OfficerVice-Chair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2018
Barbara Buckley Individual Corporate DirectorBoard Member Jan 1, 2026
Larry Warren Individual Corporate DirectorBoard Member Jan 1, 2024
Robin W Madden Individual Corporate DirectorBoard Member Jan 1, 2019
Andre Boyd Individual Corporate OfficerPresident and Ceo Jan 6, 2025
Corporate DirectorBoard Member Jan 6, 2025
Hiral P Fontanilla Individual Corporate DirectorBoard Member Jan 1, 2025
Michelle Calope Individual Corporate DirectorBoard Member Jan 1, 2025
Ketty Taboada Individual Corporate Director Mar 2, 2026
W-2 Managing EmployeeManager Provider Rev Ops Mar 2, 2026
Shaila Kapur Individual Corporate DirectorBoard Member Jan 1, 2025
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Carmen O Larsen Individual Corporate DirectorBoard Member Jan 1, 2016
Vincent D Gordon Individual Corporate OfficerChair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2025
Catherine Mikus Individual Corporate OfficerSecretary Jan 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 571

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 571

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1831574284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101460",
            "telephone_number": "301-754-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101460",
            "telephone_number": "301-754-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY CROSS HEALTH, INC.",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-754-7035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000435900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Health Lab Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.