Pink Heart Health Services & Academy LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINK HEART HEALTH SERVICES & ACADEMY LLC

Practice address

1609 Cambridge Rd
Edgewater, MD 21037-1733

Phone

(410) 212-0392

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Dominique Chantel Cully, BSN RN

Title

Ceo

Phone

(443) 822-4439

Specialties & licenses 3

Addresses

Other names 1

• Cully's Caring Cove Doing business as

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1962153387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CAMBRIDGE RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371733",
            "telephone_number": "443-822-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 CAMBRIDGE RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371733",
            "telephone_number": "410-212-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK HEART HEALTH SERVICES & ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "CULLY",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "CHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-822-4439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cully's Caring Cove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cully's Caring Cove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Phu Phan
• Wendelyn Mary Phelan
• Ana Maria A Phillips, LCSWC
• Kimberly Ann Phipps, OTR
• Stephanie Pierce, RN, MSN
• Pioneer Medical Center Leading the Way in Healthcare
• Linda Anne Poore, OTR
• Neven A Popovic, M.D.
• Precision Orthopedics and Sports Medicine
• Howard Ira Pressman, MD

• Assisted Living Facility in Edgewater, MD
• Providers in Edgewater, 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 Feb 13, 2022; 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.