NPIMap

Organization Active NPI

Easter Seals Delaware & Maryland'S Eastern Shore

  • Respite Care Camp
  • Chestertown, MD
National Provider Identifier
1457736308
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
EASTER SEALS DELAWARE & MARYLAND'S EASTERN SHORE
Practice address
22242 Bay Shore Rd
Chestertown, MD 21620-4407
Phone
(410) 778-0566
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
John P Miller
Title
Vice President - Finance
Phone
(302) 221-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X MD Primary

Addresses

Primary practice location

22242 Bay Shore Rd
Chestertown, MD 21620-4407

Mailing address

22242 Bay Shore Rd
Chestertown, MD 21620-4407
Phone (410) 778-0566

Other identifiers 1

IdentifierTypeStateIssuer
8746061 00MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Delaware Maryland'S Eastern Shore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

22242 Bay Shore Rd
Chestertown, MD 21620
Phone (410) 778-0566

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1457736308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22242 BAY SHORE RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216204407",
            "telephone_number": "410-778-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22242 BAY SHORE RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216204407",
            "telephone_number": "410-778-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS DELAWARE & MARYLAND'S EASTERN SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "302-221-2034"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8746061 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.