Organization Active NPI

Good Neighbors, Inc.

  • In Home Supportive Care Agency
  • Chattanooga, TN
National Provider Identifier
1083841589
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000003799 Issued in TN
Legal business name
GOOD NEIGHBORS, INC.
Practice address
737 East 10TH Street
Chattanooga, TN 37403-0159
Phone
(423) 266-1772
Fax
(423) 266-1773
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Mr. Edward Fletcher
Title
Chairman of Board
Phone
(423) 266-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000003799 TN Primary

Addresses

Primary practice location

737 East 10TH Street
Chattanooga, TN 37403-0159

Mailing address

737 East 10TH Street
Chattanooga, TN 37403-0159
Phone (423) 266-1772

Other identifiers 1

IdentifierTypeStateIssuer
0445768MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1083841589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 EAST 10TH STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374030159",
            "telephone_number": "423-266-1772",
            "fax_number": "423-266-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 EAST 10TH STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374030159",
            "telephone_number": "423-266-1772",
            "fax_number": "423-266-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "423-266-1772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000003799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2009; 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.