NPIMap

Organization Active NPI

Orange Grove Center, Inc 5345 Mountain Creek

  • Intellectual Disabilities Intermediate Care Facility
  • Chattanooga, TN
National Provider Identifier
1770836330
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
APPLYING FOR-NEW Issued in TN
Legal business name
ORANGE GROVE CENTER, INC 5345 MOUNTAIN CREEK
Practice address
615 Derby St
Chattanooga, TN 37404-1632
Phone
(423) 629-1451
Fax
(423) 624-1294
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Ms. Tera Robets
Title
Ceo
Phone
(423) 629-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X APPLYING FOR-NEW TN Primary

Addresses

Primary practice location

615 Derby St
Chattanooga, TN 37404-1632

Mailing address

5345 Mountain Creek Rd
Chattanooga, TN 37415
Phone (423) 629-1451

Other names 1

  • Orange Grove Center, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orange Grove Center Inc 5345 Mountain Creek22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1770836330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 MOUNTAIN CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-629-1451",
            "fax_number": "423-624-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DERBY ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041632",
            "telephone_number": "423-629-1451",
            "fax_number": "423-624-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE GROVE CENTER, INC 5345 MOUNTAIN CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ROBETS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-629-1451",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "APPLYING FOR-NEW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Grove Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2024; 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.