Organization Active NPI

Children'S Home Chambliss Shelter

  • Case Management Agency
  • Chattanooga, TN
National Provider Identifier
1619253853
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SO/10864A Issued in TN
Legal business name
CHILDREN'S HOME CHAMBLISS SHELTER
Practice address
315 Gillespie Rd
Chattanooga, TN 37411-3105
Phone
(423) 698-2456
Fax
(423) 242-1670
NPI assigned
Nov 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mr. Philip A Acord Sr.
Title
President/Ceo
Phone
(423) 698-2456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SO/10864A TN Primary
Foster Care Agency 253J00000X SO/10864A TN

Addresses

Primary practice location

315 Gillespie Rd
Chattanooga, TN 37411-3105

Mailing address

315 Gillespie Rd
Chattanooga, TN 37411-3105
Phone (423) 698-2456

National Provider Directory

National Provider Directory

Locations

315 Gillespie Rd
Chattanooga, TN 37411
Phone (423) 698-2456

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1619253853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GILLESPIE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113105",
            "telephone_number": "423-698-2456",
            "fax_number": "423-242-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GILLESPIE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113105",
            "telephone_number": "423-698-2456",
            "fax_number": "423-242-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME CHAMBLISS SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ACORD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "423-698-2456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "SO/10864A",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TN",
            "license": "SO/10864A",
            "primary": false
        }
    ],
    "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 Nov 2, 2011; 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.