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HEARTLANDS AT ELLICOTT CITY
NPI 1992740690
Assisted Living Facility in Ellicott City, MD

Active since June 17, 2006CLIA 21D2001981 · Waiver
3004 N RIDGE RD, ELLICOTT CITY, MD 21043(410) 461-9494(410) 461-8233 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heartlands At Ellicott City NPPES

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

HEARTLANDS AT ELLICOTT CITY (NPI 1992740690) is a healthcare organization registered as an assisted living facility in Ellicott City, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Bruce J Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1992740690
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR ELLICOTT CITY LLC
Location Address3004 N RIDGE RDEllicott City, MD 21043-3381
Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385
Phone(410) 461-9494
Fax(410) 461-8233
Organization SubpartYes
Authorized OfficialBruce J MackeyPresident & Chief Executive Officer · (617) 796-8214
Enumeration DateJune 17, 2006
Last NPPES UpdateJune 27, 2016
✔ NPI 1992740690 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 · 13AL166
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.
3004 N RIDGE RD, Ellicott City, MD 21043
Open in Google Maps ↗

Other Names 1

Doing Business AsHeartlands At Ellicott City

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 21D2001981

Snh MD Tenant LLC Dba Heartlands At Ellicott City · Ellicott City, MD
Active · expires Jan 4, 2028
CLIA Number21D2001981
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorAndrew Lazris
Laboratory Phone(410) 461-9494
Laboratory LocationSnh MD Tenant LLC Dba Heartlands At Ellicott City3004 North Ridge Road, Ellicott City, MD 21043
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.

ROXANNE DEPIETRO-HARTMAN OTR/L
Occupational Therapist
3004 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-9494
SNH MD TENANT LLC
Assisted Living Facility
3004 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 313-9418
BEVERLY MURRAY OTR/L
Occupational Therapist
3004 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 480-2175

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 Five Star Ellicott City LLC's NPI number?

The NPI number for Five Star Ellicott City LLC is 1992740690. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Heartlands At Ellicott City.

Where is Five Star Ellicott City LLC located?

Five Star Ellicott City LLC is located at 3004 N Ridge Rd, Ellicott City, MD 21043. The listed phone number is (410) 461-9494.

What is Five Star Ellicott City LLC's specialty?

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

Does Five Star Ellicott City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2001981) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Five Star Ellicott City LLC was last updated on June 27, 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.