Home Sweet Home Supportive Living Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

057920 Issued in TN

Legal business name

HOME SWEET HOME SUPPORTIVE LIVING INC.

Practice address

1618 Gunbarrel Rd
103
Chattanooga, TN 37421-4134

Phone

(423) 619-1234

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Higdon, RN

Title

Ceo/President/Owner

Phone

(423) 834-6979

Specialties & licenses 1

Addresses

Other names 1

• Home Sweet Home Assisted Living Inc. Former legal business name

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1669864625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 TURTLE XING",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639325",
            "telephone_number": "423-619-1234",
            "fax_number": "423-893-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 GUNBARREL RD",
            "address_2": "103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214134",
            "telephone_number": "423-619-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME SUPPORTIVE LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "HIGDON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "423-834-6979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "057920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Sweet Home Assisted Living Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Michele Holt, L.AC., DOM
• Railey Holt
• Tiffany Dawn Holt, PTA
• Justin Holyfield
• Home Care Delivered, Inc.
• Amber Honea, APN
• Jacob Honea, DPT
• Victoria Honeycutt
• Moon W Hong, MD
• Hood Medical PLLC

• Adult Care Home Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Adult Care Home Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.