CHESAPEAKE SHORES
NPI 1588855860
Skilled Nursing Facility in Lexington Pk, MD

Active since August 05, 2007CLIA 21D0890082 · Waiver
21412 GREAT MILLS RD, LEXINGTON PK, MD 20653(301) 863-7244(301) 863-8550 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chesapeake Shores NPPES

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

CHESAPEAKE SHORES (NPI 1588855860) is a healthcare organization registered as a skilled nursing facility in Lexington Pk, Maryland and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 10, 2026 and lists John Harrison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1588855860
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLP LEXINGTON PARK LLC
Location Address21412 GREAT MILLS RDLexington Pk, MD 20653-1203
Mailing Address21412 Great Mills RdLexington Park, MD 20653-1203 · (301) 863-7244 · Fax (301) 863-8550
Fax(301) 863-8550
Organization SubpartYesParent: Lp Cs Holdings Llc
Authorized OfficialJohn HarrisonCfo · (502) 568-7800
Enumeration DateAugust 5, 2007
Last NPPES UpdateApril 27, 2017
NPI 1588855860 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 · 18-003
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.

21412 GREAT MILLS RD, Lexington Pk, MD 20653

Other Names 1

Doing Business AsChesapeake Shores

Other Identifiers 1

Medicare OSCAR/certification215142MD

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 21D0890082

Chesapeake Shores Nursing Center · Lexington Park, MD
Active · expires Aug 10, 2026
CLIA Number21D0890082
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorDr. Shahana Karim
Laboratory Phone(301) 863-7244
Laboratory LocationChesapeake Shores Nursing Center21412 Great Mills Rd, Lexington Park, MD 20653
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 10

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

Nurse Practitioner
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
Clinic/Center (Rehabilitation)
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
Skilled Nursing Facility
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
Clinic/Center (Rehabilitation)
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
Physical Therapist
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
Skilled Nursing Facility
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
Nurse Practitioner
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
Internal Medicine
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588855860, enumerated as an "organization" on August 05, 2007.

The provider is located at 21412 GREAT MILLS RD LEXINGTON PK, MD 20653 and the phone number is (301) 863-7244.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.