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NPI Code Detail

MEDICARE: HILLHAVEN HEALTHCARE MANAGEMENT, INC.

MEDICARE: HILLHAVEN HEALTHCARE MANAGEMENT, INC.
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
1310400000XAssisted Living Facility16AL0570MD
2313M00000XNursing Facility/Intermediate Care Facility16-008MD
3314000000XSkilled Nursing Facility16-008MD

Other Identifiers

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

General Provider Information

NPI Number : 1184608408
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLHAVEN HEALTHCARE MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 3210 POWDER MILL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1029
Country : US
Telephone Number : 301-937-3939
Fax Number : 301-937-8798
Provider Business Practice Location Address
First Line : 3210 POWDER MILL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1029
Country : US
Telephone Number : 301-937-3939
Fax Number : 301-937-8798
Authorized Official
Title or Position : CFO
Name : CHARLES MALIN
Credential :
Telephone Number : 301-937-3939
Provider Enumeration Date : 11/30/2005
Last Update Date : 12/18/2015

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Directions to “HILLHAVEN HEALTHCARE MANAGEMENT, INC. ” Practice Location

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