1. Home
  2. Directory
  3. Maryland
  4. North East
  5. Assisted Living Facility
  6. NPI Profile

HERON'S CREEK
NPI 1669743175
Assisted Living Facility in North East, MD

Active since January 16, 2012
112 RED TOAD RD, NORTH EAST, MD 21901(443) 674-8745 Get Directions Write a Review

NPPES record last updated: January 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heron's Creek NPPES

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

HERON'S CREEK (NPI 1669743175) is a healthcare organization registered as an assisted living facility in North East, Maryland and active in the NPI registry since January 2012. The organization lists Doris Stacy Fair, Manager, as its authorized official.

NPPES Registry Identity

NPI1669743175
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERON'S CREEK
Location Address112 RED TOAD RDNorth East, MD 21901-2601
Mailing Address137 Linton Run RdPort Deposit, MD 21904-1650 · (443) 540-8949 · Fax (410) 378-4162
Phone(443) 674-8745
Organization SubpartNo
Authorized OfficialDoris Stacy FairManager · (443) 540-8949
Enumeration DateJanuary 16, 2012
✔ NPI 1669743175 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 · AL000682
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.
112 RED TOAD RD, North East, MD 21901
Open in Google Maps ↗

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 Heron's Creek's NPI number?

The NPI number for Heron's Creek is 1669743175. It was assigned to this organization in the NPPES registry on January 16, 2012.

Where is Heron's Creek located?

Heron's Creek is located at 112 Red Toad Rd, North East, MD 21901. The listed phone number is (443) 674-8745.

What is Heron's Creek's specialty?

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

When was this NPI record last updated?

The NPPES record for Heron's Creek was last updated on January 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.