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NPI Code Detail

MEDICARE: HEARTLAND OF ADELPHI MD LLC

MEDICARE: HEARTLAND OF ADELPHI MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility16-012MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013963313
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND OF ADELPHI MD LLC
Provider Business Mailing Address
First Line : 333 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-252-5500
Fax Number : 877-385-9446
Provider Business Practice Location Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-0500
Fax Number : 301-434-1962
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 05/26/2006
Last Update Date : 06/05/2017

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Directions to “HEARTLAND OF ADELPHI MD LLC ” Practice Location

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