Active NPI
Children'S Home Chambliss Shelter
- Case Management Agency
- Chattanooga, TN
National Provider Identifier
1619253853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- SO/10864A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.