Active NPI
Orange Grove Center, Inc
- Intellectual Disabilities Intermediate Care Facility
- Hixson, TN
National Provider Identifier
1396955977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 3230961572
- Legal business name
- ORANGE GROVE CENTER, INC
- Practice address
- 4717 Whispering Hills LN
Hixson, TN 37343-4266 - Phone
- (423) 629-1451
- Fax
- (423) 624-1294
- NPI assigned
- May 23, 2007
- 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
- Ms. Tera Roberts
- Title
- Executive Director
- Phone
- (423) 629-1451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 3230961572 | TN | Primary |
Addresses
Primary practice location
4717 Whispering Hills LN
Hixson, TN 37343-4266
Mailing address
615 Derby St
Chattanooga, TN 37404-1632
Phone (423) 629-1451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7447106 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G089
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ORANGE GROVE CENTER WHISPERING HILLS
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 14, 1995
- Last certification
- Oct 2, 2025
- Beds
- 4
- Ownership / control type
- Private (non-profit)
- Facility address
- 4717 Whispering Hills Lane
Hixson, TN 37343
National Provider Directory
National Provider Directory- Tax ID family
- Orange Grove Center Inc 5345 Mountain Creek
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Orange Grove Center Therapy Services
- Physical Therapist
- Chattanooga, TN
- NPI 1225199888
-
- Intellectual Disabilities Intermediate Care Facility
- Hixson, TN
- NPI 1114137791
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1205046885
-
- Intellectual Disabilities Intermediate Care Facility
- Hixson, TN
- NPI 1255540993
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1487863809
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1487864963
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1578772679
-
- Intellectual Disabilities Intermediate Care Facility
- Hixson, TN
- NPI 1588874168
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1679783252
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1821207556
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1902017098
-
- Intellectual Disabilities Intermediate Care Facility
- Chattanooga, TN
- NPI 1962612333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1396955977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DERBY ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041632",
"telephone_number": "423-629-1451",
"fax_number": "423-624-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 WHISPERING HILLS LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434266",
"telephone_number": "423-629-1451",
"fax_number": "423-624-1294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE GROVE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "TERA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "423-629-1451",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "TN",
"license": "3230961572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7447106",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.