Organization Active NPI

Eunice Storey Group Home

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1790064087
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1000000008331 Issued in TN
Legal business name
EUNICE STOREY GROUP HOME
Practice address
2016 Milne Street
Chattanooga, TN 37406
Phone
(423) 834-1419
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Mr. Steven Scott Storey
Title
Executive Director
Phone
(423) 834-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1000000008331 TN Primary

Addresses

Primary practice location

2016 Milne Street
Chattanooga, TN 37406

Mailing address

2016 Milne Street
Chattanooga, TN 37406
Phone (423) 834-1419

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1790064087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 MILNE STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37406",
            "telephone_number": "423-834-1419",
            "fax_number": "423-892-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 MILNE STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37406",
            "telephone_number": "423-834-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE STOREY GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-834-1419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "1000000008331",
            "primary": true
        }
    ],
    "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 Aug 4, 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.