Orange Grove Center, Inc in Chattanooga - Intermediate Care Facility, Intellectual Disabilities
Orange Grove Center, Inc - NPI 1679783252
Orange Grove Center, Inc is a Intermediate Care Facility, Intellectual Disabilities in Chattanooga, Tennessee. Orange Grove Center, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Orange Grove Center, Inc is 1679783252. The last update date is 2020-08-22.
Orange Grove Center, Inc's current location address is 615 Derby St, Chattanooga, Tennessee. You can contact this provider via phone number 4236291451 and fax number 4236241294. The mailing address for Orange Grove Center, Inc is 615 Derby St, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orange Grove Center, Inc |
|---|---|
| Address | 615 Derby St, Chattanooga, Tennessee |
| Phone Number | 4236291451 |
| Fax Number | 4236241294 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Hauth Kyle |
| Telephone Number | 4236291451 |
NPI Number Detail
| NPI Number | 1679783252 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 615 Derby St |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374041632 |
| Phone Number | 4236291451 |
| Fax Number | 4236241294 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 3230961548 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7447074 | TN | -- |
Post Comment/ Review Below
What is the Orange Grove Center, Inc's 1679783252?
The Orange Grove Center, Inc's NPI (National Provider Identifier) Number is 1679783252. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Orange Grove Center, Inc?
The Orange Grove Center, Inc is physically situated at 615 Derby St, in the city of Chattanooga, state of TN, with the postal code 374041632.
What is Orange Grove Center, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Orange Grove Center, Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679783252 to Orange Grove Center, Inc?
The Centers for Medicare & Medicaid Services assigned the 1679783252 to Orange Grove Center, Inc on 2007-05-23.
As of what date were the details related to Orange Grove Center, Inc most recently updated or revised?
The information pertaining to Orange Grove Center, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.