Provider Demographics
NPI:1700976685
Name:HEBREW HOME/HIRSH HEALTH CENTER
Entity Type:Organization
Organization Name:HEBREW HOME/HIRSH HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZEBA
Authorized Official - Middle Name:SHAHEEN
Authorized Official - Last Name:GELOO
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:2006-10-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061934314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM59088OtherCDS #
MDD0061934OtherMARYLAND LICENSE #
MDD0061934OtherMARYLAND LICENSE #
MDD0061934OtherMARYLAND LICENSE #
MD017907H23Medicare ID - Type Unspecified