NPIMap

Organization Active NPI

Kent Co. Medical Adult Day Care

  • Community/Behavioral Health Agency
  • Chestertown, MD
National Provider Identifier
1417171372
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENT CO. MEDICAL ADULT DAY CARE
Practice address
125 S Lynchburg St
Chestertown, MD 21620-1146
Phone
(410) 778-1350
Fax
(410) 775-6119
NPI assigned
Apr 12, 2007
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Mr. William Heroy Webb
Title
Health Officer/Director
Phone
(410) 778-1350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

125 S Lynchburg St
Chestertown, MD 21620-1146

Mailing address

125 S Lynchburg St
Chestertown, MD 21620-1146
Phone (410) 778-1350

Other identifiers 1

IdentifierTypeStateIssuer
273473700MedicaidMD

Other names 1

  • Kent County Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Kent County Health Dept11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1417171372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S LYNCHBURG ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201146",
            "telephone_number": "410-778-1350",
            "fax_number": "410-775-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S LYNCHBURG ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201146",
            "telephone_number": "410-778-1350",
            "fax_number": "410-775-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT CO. MEDICAL ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HEROY",
        "authorized_official_title_or_position": "HEALTH OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "410-778-1350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273473700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent County Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.