{
"Npi": {
"NPI": "1609068980",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOSPICE OF THE CHESAPEAKE, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 838",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PRINCE FREDERICK",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20678-0838",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-535-0892",
"MailingAddressFaxNumber": "410-535-5677",
"FirstLinePracticeLocationAddress": "4559 SIXES RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PRINCE FREDERICK",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20678-5739",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-535-0892",
"PracticeLocationAddressFaxNumber": "410-535-5677",
"EnumerationDate": "08/10/2007",
"LastUpdateDate": "09/02/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HILL",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": "MICHAEL",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "667-210-9253",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "H1521",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}