Provider Demographics
NPI:1346804465
Name:CHESAPEAKE CARE SOLUTIONS, INC
Entity Type:Organization
Organization Name:CHESAPEAKE CARE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:540-720-0734
Mailing Address - Street 1:2124 JEFFERSON DAVIS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7264
Mailing Address - Country:US
Mailing Address - Phone:540-720-0734
Mailing Address - Fax:540-301-3100
Practice Address - Street 1:2124 JEFFERSON DAVIS HWY STE 101
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7264
Practice Address - Country:US
Practice Address - Phone:540-720-0734
Practice Address - Fax:540-301-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1511OtherSENIOR HOME CARE