Active NPI
Maturecare of Standifer Place LLC
Doing business as Adult Day Care @ Standifer Gap
- Skilled Nursing Facility
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 103
- Legal business name
- MATURECARE OF STANDIFER PLACE LLC
- Doing business as
- Adult Day Care @ Standifer Gap
Assisted Living at Standifer Place
Assistive Services at Standifer Place - Practice address
- 2626 Walker Rd
Chattanooga, TN 37421-1116 - Phone
- (423) 490-1599
- NPI assigned
- Jul 13, 2006
- Organization subpart
- Yes
- Parent organization
- SALT FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John B Morton
- Title
- President
- Phone
- (615) 893-7523
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | 103 | TN | Primary |
Addresses
Primary practice location
2626 Walker Rd
Chattanooga, TN 37421-1116
Mailing address
2626 Walker Rd
Chattanooga, TN 37421-1116
Phone (423) 490-1599
Other practice location 1
2636 Walker Rd
Chattanooga, TN 37421-1116
Phone (423) 490-2188
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7544368 | Other | AETNA | |
| 702010155 | Other | CARITEN | |
| 01400793 | Other | CIGNA | |
| 3151760 | Other | TN | BCBS |
| 0445111 | Medicaid | TN | |
| 7440081 | Medicaid | TN |
Other names 4
- Adult Day Care @ Standifer Gap
- Assisted Living at Standifer Place
- Assistive Services at Standifer Place
- The Health Center at Standifer Place
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080602000665 | TN | Part A Provider - Skilled Nursing Facility | 9931279072 | Practice locations: Chattanooga, TN |
Skilled nursing facility certification: CCN 445111
- Legal name
- MATURECARE OF STANDIFER PLACE LLC
- Doing business as
- THE HEALTH CENTER AT STANDIFER PLACE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 26, 1976
- Last certification
- Jun 9, 2022
- Beds
- 444
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2626 Walker Road
Chattanooga, TN 37421-1116 - Nursing home name
- THE HEALTH CENTER AT STANDIFER PLACE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Health Center at Standifer Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 26, 1976
- Medicare certification status
- Active
- Certified beds
- 444
National Provider Directory
National Provider Directory- Tax ID family
- Adult Day Care Standifer Gap
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Chattanooga, TN
- NPI 1831230762
Locations
120 Keith Ln
Athens, TN 37303
Phone (423) 744-7272
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John Strawn | 5% Or Greater Indirect Ownership Interest | Oct 1, 2013 | 100% |
| Corporate Officer | Oct 1, 2013 | ||
| Operational/Managerial Control | Oct 1, 2013 | ||
| Health, Educational, and Housing Facility Board of the City of Chattan | Adp of the SNF | Jan 14, 2000 | |
| Rivercity Staffing, LLC | Adp of the SNF | Oct 1, 2013 | |
| Covenant Health Services LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 100% |
| Operational/Managerial Control | Oct 1, 2013 | ||
| Adp of the SNF | Nov 7, 2025 | ||
| Adp of the SNF | Oct 1, 2013 | ||
| Bruce Allen Pendley | Operational/Managerial Control | Jul 7, 2009 | |
| Adp of the SNF | Dec 16, 2025 | ||
| Standifer Place Properties LLC | Adp of the SNF | Nov 7, 2025 | |
| Angela Breakey | Operational/Managerial Control | Jan 1, 2015 | |
| David E Boozer | Operational/Managerial Control | Jan 1, 2015 | |
| Adp of the SNF | Dec 16, 2025 | ||
| Tennessee Healthcare Advisors, LLC | Adp of the SNF | Nov 1, 2007 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- East Ridge, TN
- NPI 1881634483
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- East Ridge, TN
- NPI 1881634483
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1780609651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 WALKER RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211116",
"telephone_number": "423-490-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 WALKER RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211116",
"telephone_number": "423-490-1599"
}
],
"practiceLocations": [
{
"address_1": "2636 Walker Rd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374211116",
"country_code": "US",
"telephone_number": "423-490-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MATURECARE OF STANDIFER PLACE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SALT FOUNDATION",
"enumeration_date": "2006-07-13",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "MORTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-893-7523",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7544368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARITEN",
"identifier": "702010155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01400793",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3151760",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445111",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440081",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult Day Care @ Standifer Gap",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Assisted Living at Standifer Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Assistive Services at Standifer Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Health Center at Standifer Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Health Center at Standifer Place",
"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 Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.