Organization Active NPI

Staccato LLC

Doing business as ComForCare Homecare of Chattanooga

  • In Home Supportive Care Agency
  • Chattanooga, TN
National Provider Identifier
1265032924
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STACCATO LLC
Doing business as
ComForCare Homecare of Chattanooga
Practice address
122 Lee Parkway Dr Ste 402
Chattanooga, TN 37421-0813
Phone
(423) 296-9117
Fax
(423) 296-9172
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Roger Lamar Mitchell
Title
Owner
Phone
(706) 844-2597

Specialties & licenses 1

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

Addresses

Primary practice location

122 Lee Parkway Dr Ste 402
Chattanooga, TN 37421-0813

Mailing address

122 Lee Parkway Dr Ste 402
Chattanooga, TN 37421-0813
Phone (423) 296-9117

Other names 2

  • ComForCare Homecare of Chattanooga Doing business as
  • Fitts Enterprises LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1265032924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LEE PARKWAY DR STE 402",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210813",
            "telephone_number": "423-296-9117",
            "fax_number": "423-296-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LEE PARKWAY DR STE 402",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210813",
            "telephone_number": "423-296-9117",
            "fax_number": "423-296-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACCATO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-844-2597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Homecare of Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fitts Enterprises LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 30, 2020; 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.