NPIMap

Organization Active NPI

Project Chesapeake, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Annapolis, MD
National Provider Identifier
1134539208
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PROJECT CHESAPEAKE, LLC
Practice address
108 Old Solomons Island Rd
Building 2 Suite 1
Annapolis, MD 21401-3845
Phone
(443) 214-5097
NPI assigned
Apr 29, 2014
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Joseph Rogers
Title
Partner
Phone
(443) 440-5780

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

108 Old Solomons Island Rd
Building 2 Suite 1
Annapolis, MD 21401-3845

Mailing address

185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5780

Other identifiers 1

IdentifierTypeStateIssuer
423286100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141030000682 MD Part B Supplier - Clinic/Group Practice 2769603034 Receives reassigned benefits from 24 practitioners
18 other NPIs on this enrollment
Practice locations: Greensboro, MD; Harwood, MD; Leonardtown, MD; Edgewood, MD; Lothian, MD; Pasadena, MD; Prince Frederick, MD; Riva, MD…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Project Chesapeake LLC71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

34 Defense St
Ste 1
Annapolis, MD 21401

1101 N Point Blvd
Ste 124
Baltimore, MD 21224
Phone (410) 440-5780

202 Coursevall Dr
Ste 104
Centreville, MD 21617
Phone (443) 262-0425

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1134539208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017600",
            "telephone_number": "443-440-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "address_2": "BUILDING 2 SUITE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "443-214-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT CHESAPEAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "443-440-5780"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423286100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.