NPIMap

Organization Active NPI

Hospice of Chattanooga, Inc.

  • Community Based Hospice Care Agency
  • Chattanooga, TN
National Provider Identifier
1073714101
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF CHATTANOOGA, INC.
Practice address
2030 Hamilton Place Blvd Ste 220
Chattanooga, TN 37421-6040
Phone
(423) 553-1823
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jesse R Moore
Title
Chief Administrative Officer
Phone
(857) 331-6271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2030 Hamilton Place Blvd Ste 220
Chattanooga, TN 37421-6040

Mailing address

1234 Chestnut St Ste 114
Newton, MA 02464-1491
Phone (434) 977-9711

Other names 1

  • Palliative Care Services Other name

National Provider Directory

National Provider Directory

Locations

937 Blackford St
Chattanooga, TN 37403
Phone (423) 702-9419

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 553-1823

4355 Highway 58
Ste 101
Chattanooga, TN 37416
Phone (423) 267-6828

6148 Lee Hwy
Ste 106AB
Chattanooga, TN 37421

165 Hamm Rd
Chattanooga, TN 37405
Phone (423) 267-6828

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1073714101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 CHESTNUT ST STE 114",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641491",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HAMILTON PLACE BLVD STE 220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216040",
            "telephone_number": "423-553-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CHATTANOOGA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "857-331-6271"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Palliative Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.