Provider Demographics
NPI:1235259128
Name:CARRINGTON PLACE OF CHESTNUT HILL, LLC
Entity Type:Organization
Organization Name:CARRINGTON PLACE OF CHESTNUT HILL, LLC
Other - Org Name:EVERGREEN ADULT DAY PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-723-3000
Mailing Address - Street 1:1022 MAIN ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5238
Mailing Address - Country:US
Mailing Address - Phone:727-723-3000
Mailing Address - Fax:727-723-3075
Practice Address - Street 1:551 E EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-8321
Practice Address - Country:US
Practice Address - Phone:215-233-6300
Practice Address - Fax:215-233-6384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health