Saint Barnabas Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000113 Issued in TN

Legal business name

SAINT BARNABAS NURSING HOME

Doing business as

Saint Barnabas Senior Living Services

Practice address

600 Pine St
Chattanooga, TN 37402-1712

Phone

(423) 267-3764

Fax

(423) 756-6711

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tedd M. Watts

Title

Vice President of Operations

Phone

(423) 267-3764

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint Barnabas Senior Living Services Doing business as

Locations

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366438160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PINE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021712",
            "telephone_number": "423-267-3764",
            "fax_number": "423-756-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PINE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021712",
            "telephone_number": "423-267-3764",
            "fax_number": "423-756-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BARNABAS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TEDD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "423-267-3764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Barnabas Senior Living Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.