Orange Grove Center, Inc

LBN: Orange Grove Center, Inc
Orange Grove Center, Inc is an health care organization with primary practice located at 4020 Carl Swafford Dr , Chattanooga TN 37419-2216. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Orange Grove Center, Inc can be contacted via phone (423) 629-1451, or through Roberts, Tera via phone (423) 629-1451.

Contact Information

Primary practice address
4020 Carl Swafford Dr Chattanooga TN 37419-2216
Phone: (423) 629-1451
Fax: (423) 624-1294
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Tera
Phone: (423) 629-1451

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 3230961567 Tennessee

Profile Details

NPI number 1578772679
LBN Legal business name Orange Grove Center, Inc
DBA Doing business as
Authorized official Roberts, Tera
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Mar 4th, 2024 - about 8 months 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 1578772679 NPPES
Tennessee MEDICAID 7447117

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