Provider Demographics
NPI:1598025694
Name:VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-459-2020
Mailing Address - Street 1:7505 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3507
Mailing Address - Country:US
Mailing Address - Phone:301-389-3156
Mailing Address - Fax:301-389-3195
Practice Address - Street 1:4515 EDSON PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4768
Practice Address - Country:US
Practice Address - Phone:301-389-3156
Practice Address - Fax:301-389-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC315P00000X
DC038912700320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC038912700Medicaid
DC0981892400Medicaid