ORANGE GROVE CENTER, INC (NPI# 1205046885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205046885 |
| Entity Type | Organization |
| Organization Name | ORANGE GROVE CENTER, INC |
| Practice Address |
1305 Vance Rd Chattanooga TN 37421-3645 |
| Mailing Address |
615 Derby St Chattanooga TN 37404-1632 |
| Practice Telephone | 4236291451 |
| Practice Fax Number | 4236241294 |
| Mailing Telephone | 4236291451 |
| Mailing Fax Number | 4236241294 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | 3230961570 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7447110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902017098 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 2015 Hixson Pike, Chattanooga, TN 37415-5955 | 2007-05-24 |
| 1114137791 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 87 Dowlen Rd, Hixson, TN 37343-2770 | 2007-05-23 |
| 1679783252 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 916b Glenwood Dr, Chattanooga, TN 37406-3328 | 2007-05-23 |
| 1962612333 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 1836 Crestwood Dr, Chattanooga, TN 37415-6317 | 2007-05-23 |
| 1588874168 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 6235 Pine Marr Dr, Hixson, TN 37343-2739 | 2007-05-23 |
| 1487864963 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4016 Carl Swafford Dr, Chattanooga, TN 37419-2216 | 2007-05-23 |
| 1396955977 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4717 Whispering Hills Ln, Hixson, TN 37343-4266 | 2007-05-23 |
| 1629287073 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4403 Comet Trl, Hixson, TN 37343-4313 | 2007-05-22 |
| 1487863809 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 1337 Highland Rd, Chattanooga, TN 37415-3319 | 2007-05-22 |
| 1578772679 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4020 Carl Swafford Dr, Chattanooga, TN 37419-2216 | 2007-05-22 |
| Street Address |
1305 VANCE RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902017098 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 2015 Hixson Pike, Chattanooga, TN 37415-5955 | 2007-05-24 |
| 1679783252 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 916b Glenwood Dr, Chattanooga, TN 37406-3328 | 2007-05-23 |
| 1962612333 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 1836 Crestwood Dr, Chattanooga, TN 37415-6317 | 2007-05-23 |
| 1487864963 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4016 Carl Swafford Dr, Chattanooga, TN 37419-2216 | 2007-05-23 |
| 1487863809 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 1337 Highland Rd, Chattanooga, TN 37415-3319 | 2007-05-22 |
| 1578772679 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 4020 Carl Swafford Dr, Chattanooga, TN 37419-2216 | 2007-05-22 |
| 1821207556 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 2317 Brookhaven Cir, Chattanooga, TN 37421-1738 | 2007-05-21 |
| 1760696322 | Orange Grove Center, Inc. | Intermediate Care Facility, Mentally Retarded | 916a Glenwood Dr, Chattanooga, TN 37406-3328 | 2007-05-10 |
| 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 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.