NPIMap

Organization Active NPI

Choptank Assisted Living LLC

  • Assisted Living Facility
  • Denton, MD
National Provider Identifier
1376191346
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHOPTANK ASSISTED LIVING LLC
Practice address
1233 Painted Fern Rd
Denton, MD 21629-3049
Phone
(443) 714-9936
NPI assigned
Sep 3, 2019
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Eugene Hicks
Title
Ceo
Phone
(443) 714-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1233 Painted Fern Rd
Denton, MD 21629-3049

Mailing address

1233 Painted Fern Rd
Denton, MD 21629-3049
Phone (443) 714-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1376191346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 PAINTED FERN RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293049",
            "telephone_number": "443-714-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 PAINTED FERN RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293049",
            "telephone_number": "443-714-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-714-9936"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.