Organization
ADVENTIST HEALTHCARE
Active
Other names
Adventist Home Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DOMINIC BALLENGER (VICE PRESIDENT)
(301) 592-4409
Entity
Organization
Contact information
Practice address
12041 BOURNEFIELD WAY, SUITE B, SILVER SPRING, MD 20904-7907
(301) 592-4500
(301) 592-4406
Mailing address
12041 BOURNEFIELD WAY, SUITE B, SILVER SPRING, MD 20904-7907
(301) 592-4500
(301) 592-4406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1033
MD
164W00000X
Licensed Practical Nurse
R1033
MD
376K00000X
Nurse's Aide
Primary
R1033
MD
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up