The Health Center At Standifer Place

LBN: Maturecare Of Standifer Place Llc
The Health Center At Standifer Place is an health care organization with primary practice located at 2626 Walker Rd , Chattanooga TN 37421-1116. The organization recently has 4 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Maturecare Of Standifer Place Llc can be contacted via phone (423) 490-1599, or through Morton, John B via phone (615) 893-7523.

Contact Information

Primary practice address
2626 Walker Rd Chattanooga TN 37421-1116
Phone: (423) 490-1599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morton, John B
Phone: (615) 893-7523

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 103 Tennessee

Profile Details

NPI number 1780609651
LBN Legal business name Maturecare Of Standifer Place Llc
DBA Doing business as The Health Center At Standifer Place
Authorized official Morton, John B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 7th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780609651 NPPES
Other 7544368 AETNA
Other 702010155 AETNA
Other 01400793 AETNA
Other 3151760 AETNA
MEDICAID 0445111 AETNA
MEDICAID 7440081 AETNA

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