Chester River Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHESTER RIVER MANOR, INC

Doing business as

UM- Shore Nursing and Rehabilitation Center

Practice address

200 Morgnec Road
Chestertown, MD 21620-1026

Phone

(410) 778-4550

Fax

(410) 778-9374

NPI assigned

Jul 20, 2005

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stewart Robert Seitz

Title

Director

Phone

(410) 778-4550

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• UM- Shore Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1326047440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MORGNEC ROAD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201026",
            "telephone_number": "410-778-4550",
            "fax_number": "410-778-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MORGNEC ROAD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201026",
            "telephone_number": "410-778-4550",
            "fax_number": "410-778-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-778-4550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "14-003",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144747500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UM- Shore Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chester River Hospital Center (Kent Queen Anne Emergency Physicians)
• Chester River Hospital Center
• Chester River Hospital Center (University of Maryland Shore Medical Center at Chestertown)
• Chester River Hospital Center
• Chester River Manor Nursing and Rehabilitation Center
• Chester River Pharmacy LLC
• Chester River Pharmacy LLC (Chester River Pharmacy)
• Chestertown Cardiology LLC
• Chestertown Cardiology LLC
• Chestertown Chiropractic Center LLC

• Skilled Nursing Facility in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.