Active NPI
Community Options, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Chattanooga, TN
National Provider Identifier
1396149985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- L000000012772
- Legal business name
- COMMUNITY OPTIONS, INC.
- Practice address
- 5751 Uptain Rd
Suite 407
Chattanooga, TN 37411-4010 - Phone
- (423) 892-0022
- Fax
- (423) 892-7910
- NPI assigned
- Oct 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert P. Stack
- Title
- Ceo & President
- Phone
- (609) 951-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | L000000012772 | TN | Primary |
Addresses
Primary practice location
5751 Uptain Rd
Suite 407
Chattanooga, TN 37411-4010
Mailing address
16 Farber Rd
Princeton, NJ 08540-5913
Phone (609) 951-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00677 | Other | TN | DEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES |
National Provider Directory
National Provider Directory- Tax ID family
- Community Options Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cookeville, TN
- NPI 1053715649
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Nashville, TN
- NPI 1295139871
Locations
5751 Uptain Rd
Ste 407
Chattanooga, TN 37411
Phone (423) 892-0022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1396149985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FARBER RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405913",
"telephone_number": "609-951-9900",
"fax_number": "609-951-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5751 UPTAIN RD",
"address_2": "SUITE 407",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114010",
"telephone_number": "423-892-0022",
"fax_number": "423-892-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY OPTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "STACK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "CEO & PRESIDENT",
"authorized_official_telephone_number": "609-951-9900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TN",
"license": "L000000012772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES",
"identifier": "00677",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.