Great Personal Care Service

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

GREAT PERSONAL CARE SERVICE

Practice address

2412 E 12TH St
Chattanooga, TN 37404-4601

Phone

(423) 269-8856

NPI assigned

Jan 17, 2019

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Porter

Title

Authorized Official

Phone

(478) 737-9211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1285108654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 E 12TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374044601",
            "telephone_number": "423-541-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E 12TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374044601",
            "telephone_number": "423-269-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N Orchard Knob Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374064216",
            "country_code": "US",
            "telephone_number": "423-269-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT PERSONAL CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-737-9211"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• PACE Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.