# SACRED HEART HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538159595
- **Authorized official:** SISTER VACHA KLUDZIAK (ADMINISTRATOR)
- **Authorized official phone:** (301) 277-6500

## Contact information

- **Practice address:** 5805 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3898
- **Practice address phone:** (301) 277-6500
- **Practice address fax:** (301) 277-3181
- **Mailing address:** 5805 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3898
- **Mailing address phone:** (301) 277-6500
- **Mailing address fax:** (301) 277-3181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 16018 | MD | Yes |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 01/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 166737800 | — | MD |