Healthcare Provider Details

I. General information

NPI: 1952470288
Provider Name (Legal Business Name): HEBREW HOME OF GREATER WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 MONTROSE RD
ROCKVILLE MD
20852-4803
US

IV. Provider business mailing address

6121 MONTROSE RD
ROCKVILLE MD
20852-4803
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-8377
  • Fax:
Mailing address:
  • Phone: 301-770-8377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberD0035436
License Number StateMD

VIII. Authorized Official

Name: DR. BARBARA KALAZNY
Title or Position: STAFF PHYSICIAN
Credential: MD
Phone: 301-770-8377