Hebron Care Center Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEBRON CARE CENTER INC

Practice address

6812 McCormick Rd
Upper Marlboro, MD 20772-4351

Phone

(240) 274-4040

Fax

(240) 500-1753

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Charles Kwasi Tufuor

Title

Administrator / Treasurer

Phone

(240) 274-4040

Specialties & licenses 1

Addresses

Other names 1

• Hebron Care Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1831971563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 PIAFFE CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724681",
            "telephone_number": "240-846-5149",
            "fax_number": "240-500-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 MCCORMICK RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724351",
            "telephone_number": "240-274-4040",
            "fax_number": "240-500-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9522 Piaffe Cir",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207724681",
            "country_code": "US",
            "telephone_number": "240-846-5149",
            "fax_number": "240-500-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEBRON CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "TUFUOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KWASI",
        "authorized_official_title_or_position": "ADMINISTRATOR / TREASURER",
        "authorized_official_telephone_number": "240-274-4040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hebron Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.