OrganizationActive
Alta Healthcare Services LLC
NPI 1487293007 · Pediatric Skilled Nursing Facility · Gaithersburg, MD
Provider details
- NPI number
- 1487293007
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hannah Dibonge, Administrator(240) 506-1728
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Lakeforest Blvd Ste 250
Gaithersburg, MD 20877-2633
Phone: (240) 801-9818
Fax: (240) 801-9819
Street-level locationGet directions
Mailing address
101 Lakeforest Blvd Ste 250
Gaithersburg, MD 20877-2633
Registry dates
- Enumerated
- 2019-12-30
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.