Dove Healthcare Support Services, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOVE HEALTHCARE SUPPORT SERVICES, LLC

Practice address

7429 Royal Harbour Cir
Ooltewah, TN 37363-9151

Phone

(423) 227-5957

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Tommy L Davidson

Title

Chief Manager

Phone

(423) 227-5957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1174914659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 ROYAL HARBOUR CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639151",
            "telephone_number": "423-227-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 ROYAL HARBOUR CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639151",
            "telephone_number": "423-227-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE HEALTHCARE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-227-5957"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.