Choptank Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CHOPTANK RECOVERY LLC

Practice address

204 N Main St
Greensboro, MD 21639-1453

Phone

(410) 482-4089

NPI assigned

Sep 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeremy Savin

Title

Chief Operating Officer

Phone

(410) 562-7711

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1104598036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 BEECHES DR",
            "city": "PRESTON",
            "state": "MD",
            "postal_code": "216552108",
            "telephone_number": "410-562-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "216391453",
            "telephone_number": "410-482-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "SAVIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "410-562-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TBD",
            "affiliation": "N",
            "endpointDescription": "TBD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TBD",
            "address_1": "204 N Main St",
            "city": "Greensboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216391453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Marie Bartz, PAC
• Choptank Community Health System Inc
• Choptank Community Health System Inc
• Choptank Community Health System Inc
• Choptank Community Health System Inc
• Choptank Wellness
• Michele Clough, RPH
• Annie Mae Coyer, PA
• Xaviera Curtis
• Gingerly Supportive Home Care LLC

• All providers in Greensboro, MD
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.