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NPI Code Detail

MEDICARE: HEARTLAND HEALTH CARE CENTER ADELPHI

MEDICARE: HEARTLAND HEALTH CARE CENTER ADELPHI
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
1313M00000XNursing Facility/Intermediate Care Facility16012MD

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 : 1154440667
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND HEALTH CARE CENTER ADELPHI
Provider Business Mailing Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-0500
Fax Number : 301-434-6311
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 : 301-434-6311
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CHARLES R WOODBERRY JR.
Credential :
Telephone Number : 301-434-0500
Provider Enumeration Date : 03/28/2007
Last Update Date : 01/07/2009

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Directions to “HEARTLAND HEALTH CARE CENTER ADELPHI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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