LP Lexington Park LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

LP LEXINGTON PARK LLC

Doing business as

Chesapeake Shores

Practice address

21412 Great Mills Rd
Lexington Park, MD 20653-1203

Phone

(301) 863-7244

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Chesapeake Shores Doing business as

Tax ID family

Bayside Care Center at Lexington Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• HQM of Bayside, LLC

  dba Bayside Care Center at Lexington Park

  • Skilled Nursing Facility
  • Lexington PK, MD
  • NPI 1598745200
  NPD tax ID

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1932629607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "508-568-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21412 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531203",
            "telephone_number": "301-863-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP LEXINGTON PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington Park MD Opco LLC (Chesapeake Shores Nursing Center)
• Lexington Park MD Opco LLC
• Lexington Park Optometry, LLC (MyEyeDr)
• Linda S Ball Counseling LCPC
• Julie Logan, LCSW-C
• Vicki Joan Majors, LCSW
• Joanne Mankowski, CLD
• Beko S Mantein, PHARMD.
• Katherine A Martin, DO
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy #01497)

• Rehabilitation Clinic/Center in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.