Organization Active NPI

Martin-Boyd Christian Home, Inc.

  • Assisted Living Facility
  • Chattanooga, TN
National Provider Identifier
1508097353
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ACLF0000000177 Issued in TN
Legal business name
MARTIN-BOYD CHRISTIAN HOME, INC.
Practice address
6845 Standifer Gap Rd
Chattanooga, TN 37421-1410
Phone
(423) 892-1020
Fax
(423) 499-8734
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mrs. Sandra Jean Johnston
Title
Director
Phone
(423) 892-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ACLF0000000177 TN Primary

Addresses

Primary practice location

6845 Standifer Gap Rd
Chattanooga, TN 37421-1410

Mailing address

6845 Standifer Gap Rd
Chattanooga, TN 37421-1410
Phone (423) 892-1020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1508097353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 STANDIFER GAP RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211410",
            "telephone_number": "423-892-1020",
            "fax_number": "423-499-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 STANDIFER GAP RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211410",
            "telephone_number": "423-892-1020",
            "fax_number": "423-499-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN-BOYD CHRISTIAN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-892-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACLF0000000177",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2009; 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.