Provider Demographics
NPI:1588860860
Name:CHESAPEAKE MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:CHESAPEAKE MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:WELLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-321-4267
Mailing Address - Street 1:1122 KENILWORTH DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2139
Mailing Address - Country:US
Mailing Address - Phone:410-321-4267
Mailing Address - Fax:410-321-4980
Practice Address - Street 1:1122 KENILWORTH DR
Practice Address - Street 2:SUITE 107
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2139
Practice Address - Country:US
Practice Address - Phone:410-321-4267
Practice Address - Fax:410-321-4980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0110003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health