NPIMap

Organization Active NPI

Alexian Brothers Community Services

  • PACE Provider Organization
  • Chattanooga, TN
National Provider Identifier
1114274024
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ALEXIAN BROTHERS COMMUNITY SERVICES
Practice address
425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909
Phone
(423) 698-0802
Fax
(423) 495-9145
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mrs. Criss Grant
Title
Dir. of Planning and Communications
Phone
(423) 698-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909

Mailing address

425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909
Phone (423) 698-0802

Other identifiers 1

IdentifierTypeStateIssuer
1080895OtherTNAHIMA

National Provider Directory

National Provider Directory
Tax ID family
Alexian Brothers Pace6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1114274024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802",
            "fax_number": "423-495-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802",
            "fax_number": "423-495-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CRISS",
        "authorized_official_title_or_position": "DIR. OF PLANNING AND COMMUNICATIONS",
        "authorized_official_telephone_number": "423-698-0802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHIMA",
            "identifier": "1080895",
            "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 Aug 9, 2012; 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.