Provider Demographics
NPI:1770652000
Name:HEBREW HOME OF GREATER WASHINGTON
Entity Type:Organization
Organization Name:HEBREW HOME OF GREATER WASHINGTON
Other - Org Name:HIRSH HEATH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-770-8377
Mailing Address - Street 1:6121 MONTROSE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4803
Mailing Address - Country:US
Mailing Address - Phone:301-770-8377
Mailing Address - Fax:
Practice Address - Street 1:6121 MONTROSE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4803
Practice Address - Country:US
Practice Address - Phone:301-770-8377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0037464313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0037464OtherMARYLAND MEDICAL LICENSE
MDM28561OtherCDS
MDBK0929262OtherDEA
MD015387H23Medicare ID - Type Unspecified
MDD0037464OtherMARYLAND MEDICAL LICENSE