PROJECT CHESAPEAKE, LLC (NPI# 1518472570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518472570 |
| Entity Type | Organization |
| Organization Name | PROJECT CHESAPEAKE, LLC |
| Practice Address |
202 Coursevall Dr Ste 104 Centreville MD 21617-2805 |
| Mailing Address |
185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 |
| Practice Telephone | 4432620425 |
| Mailing Telephone | 4434405780 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | JOSEPH ROGERS (PARTNER) |
| Authorized Official Telephone | 4434405780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 811842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242277 | Project Chesapeake, LLC | Substance Abuse Rehabilitation Facility | 1048 Pam Ann Ln, Lothian, MD 20711-2600 | 2019-12-17 |
| 1083187868 | Project Chesapeake, LLC | Clinic/Center | 1101 N Point Blvd Ste 124, Baltimore, MD 21224-3417 | 2019-01-04 |
| 1619460367 | Project Chesapeake, LLC | Clinic/Center | 1308 Business Center Way Ste 102, Edgewood, MD 21040-1504 | 2018-06-07 |
| 1386150167 | Project Chesapeake, LLC | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2017-12-16 |
| 1700305141 | Project Chesapeake, LLC | Clinic/Center | 114 Market St Ste 103, Denton, MD 21629-1066 | 2017-09-18 |
| 1134539208 | Project Chesapeake, LLC | Community/Behavioral Health | 34 Defense St, Suite 001, Annapolis, MD 21401-3577 | 2014-04-29 |
| 1215584040 | Project Chesapeake, LLC | Community/Behavioral Health | 34 Defense St Ste 100, Annapolis, MD 21401-3578 | 2019-08-26 |
| 1093288862 | Project Chesapeake, LLC | Clinic/Center | 1101 N Point Blvd Ste 124, Baltimore, MD 21224-3417 | 2019-01-04 |
| 1184197956 | Project Chesapeake, LLC | Community/Behavioral Health | 1101 N Point Blvd Ste 124, Baltimore, MD 21224-3417 | 2019-01-04 |
| 1962980748 | Project Chesapeake, LLC | Clinic/Center | 185 Admiral Cochrane Dr, Annapolis, MD 21401-7493 | 2018-08-02 |
| Street Address |
202 COURSEVALL DR STE 104 |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025944 | Project Chesapeake, LLC | Community/Behavioral Health | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-03-07 |
| 1174025498 | Kendall Rose Savage | Counselor | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-03-02 |
| 1861990160 | Project Chesapeake, LLC | Clinic/Center | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-02-01 |
| 1093220022 | Project Chesapeake, LLC | Social Worker | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871820258 | Certified Counseling Services of Centreville, LLC | Clinic/Center | 204 Banjo Ln Ste A, Centreville, MD 21617-1054 | 2009-11-05 |
| 1295269785 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2017-04-12 |
| 1891179099 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2015-07-17 |
| 1851799936 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2014-12-05 |
| 1174893556 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.