Provider Demographics
NPI:1821254418
Name:WARM HEART FAMILY ASSISTANCE LIVING INC.
Entity Type:Organization
Organization Name:WARM HEART FAMILY ASSISTANCE LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:MUTANDA
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-398-1433
Mailing Address - Street 1:18441 CROWNSGATE CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4425
Mailing Address - Country:US
Mailing Address - Phone:240-398-1433
Mailing Address - Fax:301-515-0000
Practice Address - Street 1:18441 CROWNSGATE CIR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4425
Practice Address - Country:US
Practice Address - Phone:240-398-1433
Practice Address - Fax:301-515-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-02
Last Update Date:2008-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15AL0265311ZA0620X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No385H00000XRespite Care FacilityRespite Care