OrganizationActive
Charleston Grove, LLC
NPI 1336673177 · Assisted Living Facility · Waldorf, MD
Charleston Grove, LLC is a Assisted Living Facility organization in Waldorf, MD (NPI 1336673177).
Provider details
- NPI number
- 1336673177
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Goff, Executive Director(240) 270-7500
- License
- 08AL0144-A (MD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 Saint Patricks Dr
Waldorf, MD 20603-4507
Phone: (240) 270-7500
Fax: (240) 523-7410
Street-level locationGet directions
Mailing address
45 Saint Patricks Dr
Waldorf, MD 20603-4507
Other names (DBA / former)
- Doing business as
- The Charleston Senior Community
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2017-04-19
Frequently asked questions
- What is Charleston Grove, LLC's NPI number?
- Charleston Grove, LLC's National Provider Identifier (NPI) is 1336673177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charleston Grove, LLC?
- Charleston Grove, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Charleston Grove, LLC located?
- Charleston Grove, LLC's practice location on file with NPPES is 45 Saint Patricks Dr, Waldorf, MD 20603-4507.
- What is Charleston Grove, LLC's phone number?
- The practice phone number listed in the NPPES registry for Charleston Grove, LLC is (240) 270-7500.
- Who is the authorized official for Charleston Grove, LLC?
- The authorized official listed on Charleston Grove, LLC's NPPES record is Patrick Goff, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charleston Grove, LLC's NPI active?
- Yes — Charleston Grove, LLC's NPI (1336673177) is active in the NPPES registry as of the last update on 2017-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.