Healthcare Provider Details

I. General information

NPI: 1013872514
Provider Name (Legal Business Name): HEALTHCARE LINK ST. MARY'S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18311 CHESTNUT ST
LEXINGTON PARK MD
20653-3534
US

IV. Provider business mailing address

18311 CHESTNUT ST
LEXINGTON PARK MD
20653-3534
US

V. Phone/Fax

Practice location:
  • Phone: 301-558-9033
  • Fax:
Mailing address:
  • Phone: 301-558-9033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIANESE MCCLAFFERTY
Title or Position: OWNER
Credential:
Phone: 301-558-9033