Resilient Spread Development

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

RESILIENT SPREAD DEVELOPMENT

Doing business as

Great Personal Care

Practice address

4315 13TH Ave
Chattanooga, TN 37407-3104

Phone

(423) 475-6165

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Roberta Davis

Title

Authorized Official

Phone

(423) 475-6165

Specialties & licenses 1

Addresses

Other names 1

• Great Personal Care Doing business as

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1578022117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 13TH AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374073104",
            "telephone_number": "423-475-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 13TH AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374073104",
            "telephone_number": "423-475-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT SPREAD DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "423-475-6165"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Personal Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Intermediate Care Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Mental Illness Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.