Organization Active NPI

Hartley Hall Nursing & Rehabilitation Center, Inc

  • Skilled Nursing Facility
  • Pocomoke City, MD
National Provider Identifier
1861441784
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
23001 Issued in MD
Legal business name
HARTLEY HALL NURSING & REHABILITATION CENTER, INC
Practice address
1006 Market St
Pocomoke City, MD 21851-1206
Phone
(410) 957-2252
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Mr. Gary N. Crowley
Title
Administrator
Phone
(410) 957-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 23001 MD Primary

Addresses

Primary practice location

1006 Market St
Pocomoke City, MD 21851-1206

Mailing address

PO Box 438
Pocomoke City, MD 21851-0438
Phone (410) 957-2252

Other identifiers 2

IdentifierTypeStateIssuer
237807800MedicaidMD
427853400MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1861441784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218510438",
            "telephone_number": "410-957-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511206",
            "telephone_number": "410-957-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLEY HALL NURSING & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-957-2252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "23001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237807800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427853400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.