Healthcare Provider Details

I. General information

NPI: 1255053914
Provider Name (Legal Business Name): CHAPMAN OPERATOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 LA PLATA ROAD
LA PLATA MD
20646
US

IV. Provider business mailing address

10200 LA PLATA ROAD
LA PLATA MD
20646
US

V. Phone/Fax

Practice location:
  • Phone: 301-934-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MINDEE POSEN
Title or Position: MEDICARE ADMINISTRATION OFFICER
Credential:
Phone: 845-825-8011