Lee Street Developers LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000292 Issued in TN

Legal business name

LEE STREET DEVELOPERS LLC

Doing business as

Rose of Sharon's Senior Villa

Practice address

5410 Lee Ave
Chattanooga, TN 37410-2219

Phone

(423) 822-7673

Fax

(423) 821-2468

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Cheri Taneka Hudgins, BBA

Title

Administrator

Phone

(423) 822-7673

Specialties & licenses 2

Addresses

Other names 1

• Rose of Sharon's Senior Villa Doing business as

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1093942385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 LEE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374102219",
            "telephone_number": "423-822-7673",
            "fax_number": "423-821-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 LEE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374102219",
            "telephone_number": "423-822-7673",
            "fax_number": "423-821-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE STREET DEVELOPERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "TANEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-822-7673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000292",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TN",
            "license": "ACL000000292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose of Sharon's Senior Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel C. Ledbetter, MD
• Calvin Samuel Ledford, MD
• Ina Melissa Ledford
• Tara Ledford, APRN, NP-C
• Naomi Won Lee Koh, D.D.S.
• Chelsea Lee, NP-C
• Eun Kyung Lee, M.D.
• Gene Lee, M.D.
• Jaeik Lee, PHARM D
• Jane Lee, DDS

• Assisted Living Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.