Organization Active NPI

Burks Supportive Living Inc.

  • Home Health Agency
  • Chattanooga, TN
National Provider Identifier
1093561250
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BURKS SUPPORTIVE LIVING INC.
Practice address
1425 S Moore Rd Ste B
Chattanooga, TN 37412-2836
Phone
(423) 206-5539
Fax
(423) 531-4148
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Nicole Patrice McFarland-Burks
Title
Ceo-Owner
Phone
(423) 314-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1425 S Moore Rd Ste B
Chattanooga, TN 37412-2836

Mailing address

1425 S Moore Rd Ste B
Chattanooga, TN 37412-2836
Phone (423) 206-5539

National Provider Directory

National Provider Directory

Locations

1425 S Moore Rd
Ste B
Chattanooga, TN 37412
Phone (423) 206-5539

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1093561250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S MOORE RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122836",
            "telephone_number": "423-206-5539",
            "fax_number": "423-531-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S MOORE RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122836",
            "telephone_number": "423-206-5539",
            "fax_number": "423-531-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKS SUPPORTIVE LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND-BURKS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "423-314-7363"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 29, 2024; 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.