NPIMap

Organization Active NPI

Chevy Chase Staffing Agency LLC

  • Nursing Care Agency
  • Germantown, MD
National Provider Identifier
1629361019
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
101102 Issued in MD
Legal business name
CHEVY CHASE STAFFING AGENCY LLC
Practice address
20306 Thunderhead Way
Germantown, MD 20874-3806
Phone
(301) 944-2096
Fax
(240) 489-7883
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Mr. Peter James Kimbis
Title
Member
Phone
(301) 944-2096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 101102 MD Primary
Nursing Care Agency 251J00000X 110101 MD

Addresses

Primary practice location

20306 Thunderhead Way
Germantown, MD 20874-3806

Mailing address

20306 Thunderhead Way
Germantown, MD 20874-3806
Phone (301) 944-2096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1629361019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20306 THUNDERHEAD WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743806",
            "telephone_number": "301-944-2096",
            "fax_number": "240-489-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 THUNDERHEAD WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743806",
            "telephone_number": "301-944-2096",
            "fax_number": "240-489-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "KIMBIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-944-2096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "101102",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "110101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.