CHESAPEAKE WOODS CENTER
NPI 1164604625
Skilled Nursing Facility in Cambridge, MD

Active since November 27, 2007CLIA 21D0649893 · Waiver
525 GLENBURN AVE, CAMBRIDGE, MD 21613(410) 221-1400(410) 476-4657 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chesapeake Woods Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESAPEAKE WOODS CENTER (NPI 1164604625) is a healthcare organization registered as a skilled nursing facility in Cambridge, Maryland and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1164604625
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name525 GLENBURN AVENUE OPERATIONS LLC
Location Address525 GLENBURN AVECambridge, MD 21613-1414
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 925-4351
Fax(410) 476-4657
Organization SubpartNo
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateNovember 27, 2007
Last NPPES UpdateJanuary 8, 2016
NPI 1164604625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 09-010
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
525 GLENBURN AVE, Cambridge, MD 21613

Other Names 1

Doing Business AsChesapeake Woods Center

Other Identifiers 2

Medicare OSCAR/certification215221MD
Medicaid413981000MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0649893

Chesapeake Woods Center · Cambridge, MD
Active · expires Aug 31, 2026
CLIA Number21D0649893
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Nicholas Borodulia
Laboratory Phone(410) 221-1400
Laboratory LocationChesapeake Woods Center525 Glenburn Ave, Cambridge, MD 21613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Physical Therapist
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Physician Assistant
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Speech-Language Pathologist
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Occupational Therapy Assistant
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Physical Therapist
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Speech-Language Pathologist
525 GLENBURN AVE
CAMBRIDGE, MD 21613
Skilled Nursing Facility
525 GLENBURN AVE
CAMBRIDGE, MD 21613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 525 Glenburn Avenue Operations LLC's NPI number?

The NPI number for 525 Glenburn Avenue Operations LLC is 1164604625. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Chesapeake Woods Center.

Where is 525 Glenburn Avenue Operations LLC located?

525 Glenburn Avenue Operations LLC is located at 525 Glenburn Ave, Cambridge, MD 21613. The listed phone number is (410) 221-1400.

What is 525 Glenburn Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 525 Glenburn Avenue Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0649893) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 525 Glenburn Avenue Operations LLC was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.