Provider Demographics
NPI:1417055336
Name:HEBREW HOME/HIRSH HEALTH CENTER
Entity Type:Organization
Organization Name:HEBREW HOME/HIRSH HEALTH CENTER
Other - Org Name:HIRSH HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-816-5025
Mailing Address - Street 1:1801 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4045
Mailing Address - Country:US
Mailing Address - Phone:301-816-5025
Mailing Address - Fax:301-816-5024
Practice Address - Street 1:1801 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4045
Practice Address - Country:US
Practice Address - Phone:301-816-5025
Practice Address - Fax:301-816-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057884314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM53520OtherCDS #
MDD0057884OtherMARYLAND LICENSE #
MDD0057884OtherMARYLAND LICENSE #
MDD0057884OtherMARYLAND LICENSE #
MDH49286Medicare UPIN