Healthcare Provider Details

I. General information

NPI: 1386690709
Provider Name (Legal Business Name): CHESTERTOWN NURSING & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MORGNEC RD
CHESTERTOWN MD
21620-1046
US

IV. Provider business mailing address

415 MORGNEC RD
CHESTERTOWN MD
21620-1046
US

V. Phone/Fax

Practice location:
  • Phone: 410-778-1900
  • Fax: 410-778-1014
Mailing address:
  • Phone: 410-778-1900
  • Fax: 410-778-1014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number215260
License Number StateMD

VIII. Authorized Official

Name: VICKI L LEWIS
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 410-778-1900