Active NPI
Chesapeake MC Opco 2 LLC
- Assisted Living Facility
- Chesapeake, VA
National Provider Identifier
1003776600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CHESAPEAKE MC OPCO 2 LLC
- Practice address
- 130 Great Bridge Blvd
Chesapeake, VA 23320-3902 - Phone
- (757) 436-2109
- NPI assigned
- Nov 15, 2025
- Last updated
- Nov 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Miller Miller
- Title
- Revenue Cycle Manager
- Phone
- (201) 388-4784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
130 Great Bridge Blvd
Chesapeake, VA 23320-3902
Mailing address
169 Madison Ave Ste 15970
New York, NY 10016-5101
Phone (888) 980-4440
National Provider Directory
National Provider DirectoryLocations
169 Madison Ave
Ste 15970
New York, NY 10016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763164800000",
"number": "1003776600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15970",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "888-980-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GREAT BRIDGE BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203902",
"telephone_number": "757-436-2109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE MC OPCO 2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-15",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JESSICA MILLER",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "201-388-4784"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Chesapeake Hospital Authority (Chesapeake General Professional Pharmacy)
- Chesapeake Hospital Authority (Chesapeake Rx)
- Chesapeake Hospital Authority (Chesapeake General Hospital)
- Chesapeake Hospitalists, PC
- Chesapeake Internists LTD
- Chesapeake Natural Pain Management and Chiropractic
- Chesapeake Neuroinstitute LLC (Atlantic Neurosurgical Services)
- Chesapeake Observation Medicine Specialists, P.C.
- Chesapeake Observation Medicine Specialists, P.C.
- Chesapeake Pediatric Dentistry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.