HEARTLANDS AT SEVERNA PARK
NPI 1467497164
Assisted Living Facility in Severna Park, MD

Q: What is Five Star Severna Park LLC's NPI number?

The NPI number for Five Star Severna Park LLC is 1467497164. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Heartlands At Severna Park.

Q: What is Five Star Severna Park LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since June 17, 2006CLIA 21D2002715 · Waiver

715 BENFIELD RD, SEVERNA PARK, MD 21146(410) 729-1600(410) 729-2313 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Heartlands At Severna Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLANDS AT SEVERNA PARK (NPI 1467497164) is a healthcare organization registered as an assisted living facility in Severna Park, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Bruce J Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1467497164

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFIVE STAR SEVERNA PARK LLC

Location Address715 BENFIELD RDSeverna Park, MD 21146-2210

Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385

Phone(410) 729-1600

Fax(410) 729-2313

Organization SubpartYes

Authorized OfficialBruce J MackeyPresident & Chief Executive Officer · (617) 796-8214

Enumeration DateJune 17, 2006

Last NPPES UpdateJune 27, 2016

✔ NPI 1467497164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MD · 02AL020

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

715 BENFIELD RD, Severna Park, MD 21146

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Other Names 1

Doing Business AsHeartlands At Severna Park

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2002715

Heartlands At Severna Park · Severna Park, MD

Active · expires Jan 24, 2028

CLIA Number21D2002715

Laboratory TypeAssisted Living Facility

Certificate Effective DateJanuary 25, 2026

Certificate Expiration DateJanuary 24, 2028

Laboratory DirectorDr. Mohit Negi

Laboratory Phone(410) 729-1600

Laboratory LocationHeartlands At Severna Park715 Benfield Road, Severna Park, MD 21146

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MYNES MS,OT/L

Occupational Therapist