ORANGE GROVE CENTER, INC. (NPI# 1114294600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114294600 |
| Entity Type | Organization |
| Organization Name | ORANGE GROVE CENTER, INC. |
| Practice Address |
615 Derby St Chattanooga TN 37404-1632 |
| Practice Telephone | 4236291451 |
| Practice Fax Number | 4236241294 |
| Mailing Telephone | 4236291451 |
| Mailing Fax Number | 4236241294 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MR. KYLE HAUTH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4236291451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | L000000009496 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 021 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760696322 | Orange Grove Center, Inc. | Intermediate Care Facility, Mentally Retarded | 916a Glenwood Dr, Chattanooga, TN 37406-3328 | 2007-05-10 |
| 1073668653 | Orange Grove Center, Inc. | Dentist | 615 Derby St, Chattanooga, TN 37404-1632 | 2007-01-24 |
| Street Address |
615 DERBY ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696417 | Laura L Porter | Nurse Practitioner | 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 | 2005-08-12 |
| 1710480876 | Nellie Patricia Gannon | Dentist | 615 Derby St, Chattanooga, TN 37404-1632 | 2018-03-15 |
| 1326434663 | Amy Jo Schamens | Behavioral Analyst | 615 Derby St, Chattanooga, TN 37404-1632 | 2015-04-14 |
| 1164838058 | Ann Graham Parker | Psychologist | 615 Derby St, Chattanooga, TN 37404-1632 | 2014-07-11 |
| 1356694921 | Orange Grove Center, Inc Brown Chapel | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2012-10-19 |
| 1770836330 | Orange Grove Center, Inc 5345 Mountain Creek | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2012-10-19 |
| 1225315161 | Orange Grove Center, Inc 7445 Pinewood Dr | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-07 |
| 1952688897 | Orange Grove Center, Inc 7447 Pinewood Dr | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-07 |
| 1841575180 | Donna Eileen Leath | Occupational Therapy Assistant | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-10-19 |
| 1225325483 | Latosha K Walker | Nurse Practitioner | 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912453259 | Perfect Care Solutions Inc | Day Training, Developmentally Disabled Services | 5916 Brainerd Rd, Suite 101, Chattanooga, TN 37421-3524 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593082 | Simplylove Care Inc | Day Training, Developmentally Disabled Services | 8920 Macauley Ln, Nolensville, TN 37135-4013 | 2020-09-21 |
| 1588282628 | Emma Wedley | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 8, Bartlett, TN 38134-4616 | 2020-07-06 |
| 1376008011 | Excel Centers of America, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 7, Bartlett, TN 38134-4616 | 2019-02-06 |
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1134617350 | Golden Moments Home Care, LLC | Day Training, Developmentally Disabled Services | 201 Airways Blvd, Jackson, TN 38301-5800 | 2018-04-24 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| 1013462050 | C.s. Patterson Training & Habilitation Center, Inc. | Day Training, Developmentally Disabled Services | 1284 Us Highway 45 Byp N, Trenton, TN 38382-4005 | 2016-08-19 |
| 1104287861 | Adult Community Training Inc. | Day Training, Developmentally Disabled Services | 5410 Highway 321 N, Lenoir City, TN 37771-7540 | 2016-03-09 |
| 1851762819 | Lydia Hodge | Day Training, Developmentally Disabled Services | 5705 Stage Rd Ste 200, Bartlett, TN 38134-4511 | 2015-10-15 |
| 1154714335 | Triumph Care, LLC | Day Training, Developmentally Disabled Services | 1161 Murfreesboro Pike Ste 132, Nashville, TN 37217-2225 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.