Provider Demographics
NPI:1689256679
Name:CHESAPEAKE CAREGIVERS INC
Entity Type:Organization
Organization Name:CHESAPEAKE CAREGIVERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DEGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-919-0190
Mailing Address - Street 1:1997 ANNAPOLIS EXCHANGE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3273
Mailing Address - Country:US
Mailing Address - Phone:410-919-0190
Mailing Address - Fax:
Practice Address - Street 1:3006 SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1419
Practice Address - Country:US
Practice Address - Phone:410-919-0190
Practice Address - Fax:443-433-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care