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Charleston Grove, LLC

Assisted Living Facility in Waldorf, MD · enumerated 2017 · authorized official Patrick Goff, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336673177

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Registry record

Entity type Organization (Type 2)
Legal business name Charleston Grove, LLC
Other name <Unavail>
Practice address 45 Saint Patricks Dr, Waldorf, MD, 20603
Fax (240) 523-7410
Enumeration date Apr 19, 2017
Last updated in NPPES Apr 19, 2017

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 08AL0144-A (MD) Primary

Authorized official

Name Patrick Goff
Title Executive Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Charleston Grove, LLC?
NPPES lists Patrick Goff (Executive Director) as the authorized official for this organization.
What is the NPI number for Charleston Grove, LLC?
The NPI for Charleston Grove, LLC is 1336673177, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-19.