Chesterwye Adult Day Medical Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CHESTERWYE ADULT DAY MEDICAL CARE

Practice address

891 Love Point Rd
Stevensville, MD 21666-2189

Phone

(443) 249-3549

Fax

(410) 827-6457

NPI assigned

Oct 3, 2012

Last updated

Oct 3, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CHESTERWYE CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Dan Bungori

Title

Executive Director

Phone

(443) 249-3549

Specialties & licenses 1

Addresses

Part of

Chesterwye Adult Day Medical Care

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1386996262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 LOVE POINT RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662189",
            "telephone_number": "443-249-3549",
            "fax_number": "410-827-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 LOVE POINT RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662189",
            "telephone_number": "443-249-3549",
            "fax_number": "410-827-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERWYE ADULT DAY MEDICAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTERWYE CENTER, INC.",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "BUNGORI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-249-3549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Stevensville, MD
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• Health Maintenance Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.