ORANGE GROVE CENTER, INC 7447 PINEWOOD DR (NPI# 1952688897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952688897 |
| Entity Type | Organization |
| Organization Name | ORANGE GROVE CENTER, INC 7447 PINEWOOD DR |
| Other Organization Name | ORANGE GROVE CENTER, INC |
| Practice Address |
615 Derby St Chattanooga TN 37404-1632 |
| Mailing Address |
7447 Pinewood Dr Chattanooga TN 37421-1817 |
| Practice Telephone | 4236291451 |
| Practice Fax Number | 4236241294 |
| Mailing Telephone | 4236291451 |
| Mailing Fax Number | 4236241294 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |
| 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 | TN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Orange Grove Center, Inc | Doing Business As Name - Organization |
| 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 |
| 1114294600 | Orange Grove Center, Inc. | Day Training, Developmentally Disabled Services | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-28 |
| 1225315161 | Orange Grove Center, Inc 7445 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 | 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 |
| 1205046885 | Orange Grove Center, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Vance Rd, Chattanooga, TN 37421-3645 | 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 |
| 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 |
| Find all providers in CHATTANOOGA | ||||
| 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.