Chattanooga Supportive Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHATTANOOGA SUPPORTIVE SERVICES, INC.

Practice address

6148 Lee Hwy Ste 301
Chattanooga, TN 37421-2941

Phone

(423) 883-0355

Fax

(423) 475-5648

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Marylin Rena Jones

Title

Officer

Phone

(423) 883-0355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1285087890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 LEE HWY",
            "address_2": "SUITE 107K",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212916",
            "telephone_number": "423-475-5647",
            "fax_number": "423-475-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 LEE HWY STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212941",
            "telephone_number": "423-883-0355",
            "fax_number": "423-475-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA SUPPORTIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARYLIN",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "423-883-0355"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445463",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.