Orange Grove Center, Inc. in Chattanooga - Intermediate Care Facility, Intellectual Disabilities

Orange Grove Center, Inc. - NPI 1760696322

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 1760696322. 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 1760696322
Provider Enumeration Date 2007-05-10
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 L3230961547
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7447073 TN --

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FAQs about Orange Grove Center, Inc.

What is the unique 10-digit identification code assigned to Orange Grove Center, Inc. by the Centers for Medicare & Medicaid Services?

The Orange Grove Center, Inc. has been issued the NPI (National Provider Identifier) 1760696322, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Orange Grove Center, Inc.'s facilities are geographically located?

The facilities of Orange Grove Center, Inc. are physically situated at the following location: 615 Derby St, Chattanooga, TN, 374041632.

What is Orange Grove Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Orange Grove Center, Inc.'s area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1760696322 to Orange Grove Center, Inc.?

The Orange Grove Center, Inc. received its 1760696322 assignment from the Centers for Medicare & Medicaid Services on 2007-05-10.

As of what date was the information regarding Orange Grove Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Orange Grove Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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