<Unavail>

LBN: Orange Grove Center Inc
<Unavail> is an health care organization with primary practice located at 615 Derby St , Chattanooga TN 37404-1632. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Orange Grove Center Inc can be contacted via phone (423) 629-1451, or through Roberts, Tera via phone (423) 493-2910.

Contact Information

Primary practice address
615 Derby St Chattanooga TN 37404-1632
Phone: (423) 629-1451
Fax: (423) 493-2950
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Tera
Phone: (423) 493-2910

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 00000065 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 00000065 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 00000065 Tennessee

Profile Details

NPI number 1225199888
LBN Legal business name Orange Grove Center Inc
DBA Doing business as <Unavail>
Authorized official Roberts, Tera
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2006
Last updated Mar 4th, 2024 - about 2 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 1225199888 NPPES
Tennessee MEDICAID 1531219

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