Organization Active NPI

Chesapeake MC Opco 2 LLC

  • Assisted Living Facility
  • Chesapeake, VA
National Provider Identifier
1003776600
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.