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SACRED HEART HOME
NPI 1538159595
Nursing Facility/Intermediate Care Facility in Hyattsville, MD

Active since October 21, 2005CLIA 21D0702978 · Waiver
5805 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782(301) 277-6500(301) 277-3181 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Heart Home NPPES

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

SACRED HEART HOME (NPI 1538159595) is a healthcare organization registered as a nursing facility/intermediate care facility in Hyattsville, Maryland and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sister Vacha Kludziak, Administrator, as its authorized official.

NPPES Registry Identity

NPI1538159595
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSACRED HEART HOME
Location Address5805 QUEENS CHAPEL RDHyattsville, MD 20782-3898
Mailing Address5805 Queens Chapel RdHyattsville, MD 20782-3898 · (301) 277-6500 · Fax (301) 277-3181
Phone(301) 277-6500
Fax(301) 277-3181
Organization SubpartNo
Authorized OfficialSister Vacha KludziakAdministrator · (301) 277-6500
Enumeration DateOctober 21, 2005
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1538159595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in MD · 16018
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
5805 QUEENS CHAPEL RD, Hyattsville, MD 20782
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Other Identifiers 1

Medicaid166737800MD

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 21D0702978

Sacred Heart Home Inc · Hyattsville, MD
Active · expires Aug 31, 2026
CLIA Number21D0702978
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndres Salazar
Laboratory Phone(301) 277-6500
Laboratory LocationSacred Heart Home Inc5805 Queens Chapel Rd, Hyattsville, MD 20782
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 3

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

M MEDICAL GROUP, INC.
Internal Medicine
5805 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782
Prince George's County (301) 277-6500
HOPE PSYCH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
5805 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782
Prince George's County (307) 277-6500
WONDAFRASH REHAB LLC
Physical Medicine & Rehabilitation (Pain Medicine)
5805 QUEENS CHAPEL RD
HYATTSVILLE, MD 20782
Prince George's County (301) 277-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Heart Home's NPI number?

The NPI number for Sacred Heart Home is 1538159595. It was assigned to this organization in the NPPES registry on October 21, 2005.

Where is Sacred Heart Home located?

Sacred Heart Home is located at 5805 Queens Chapel Rd, Hyattsville, MD 20782. The listed phone number is (301) 277-6500.

What is Sacred Heart Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Sacred Heart Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0702978) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Heart Home was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.