Orange Grove Center, Inc in Chattanooga - Intermediate Care Facility, Intellectual Disabilities
Orange Grove Center, Inc - NPI 1487863809
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 1487863809. 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 | 1487863809 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| 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 | 3230961549 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7447109 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Orange Grove Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Orange Grove Center, Inc has been assigned the NPI (National Provider Identifier) 1487863809. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Orange Grove Center, Inc is located?
The Orange Grove Center, Inc is situated at the following address: 615 Derby St, Chattanooga, TN, 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 originally issue the 1487863809 to Orange Grove Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1487863809 to Orange Grove Center, Inc on 2007-05-22.
When was the information regarding Orange Grove Center, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Orange Grove Center, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.