NPIMap

Organization Active NPI

Hospice of the Chesapeake, Inc

Doing business as Chesapeake Supportive Care

  • Community Based Hospice Care Agency
  • Pasadena, MD
National Provider Identifier
1750575908
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
H1509 Issued in MD
Legal business name
HOSPICE OF THE CHESAPEAKE, INC
Doing business as
Chesapeake Supportive Care
Practice address
90 Ritchie Highway
Pasadena, MD 21122-4303
Phone
(410) 987-2003
Fax
(410) 544-5449
NPI assigned
Aug 30, 2007
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Michael Brady
Title
Cfo
Phone
(410) 987-2003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 219N MD
Community Based Hospice Care Agency 251G00000X H1509 MD Primary

Addresses

Primary practice location

90 Ritchie Highway
Pasadena, MD 21122-4303

Mailing address

90 Ritchie Highway
Pasadena, MD 21122-4303
Phone (410) 987-2003

Other practice location 1

2505 Davis Rd
Waldorf, MD 20603-4100
Phone (410) 987-2003

Other practice location 2

9500 Medical Center Dr Ste 250
Largo, MD 20774-3709
Phone (410) 987-2003

Other identifiers 2

IdentifierTypeStateIssuer
219NOtherMDMEDICARE PART B
1F0497OtherDCPALLIATIVE

Other names 1

  • Chesapeake Supportive Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050721000905 MD Part B Supplier - Clinic/Group Practice 0244202463 Receives reassigned benefits from 14 practitioners
Practice locations: Pasadena, MD; Waldorf, MD
O20080410000293 DC Part B Supplier - Clinic/Group Practice 0244202463 Receives reassigned benefits from 14 practitioners
Practice locations: Pasadena, MD

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hospice of the Chesapeake8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1750575908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003",
            "fax_number": "443-837-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003",
            "fax_number": "410-544-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034100",
            "country_code": "US",
            "telephone_number": "410-987-2003",
            "fax_number": "410-544-5449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Medical Center Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207743709",
            "country_code": "US",
            "telephone_number": "410-987-2003",
            "fax_number": "410-544-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF THE CHESAPEAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-987-2003"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "219N",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "219N",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALLIATIVE",
            "identifier": "1F0497",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Supportive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.