Maturecare of Standifer Place LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATURECARE OF STANDIFER PLACE LLC

Practice address

2626 Walker Rd
Chattanooga, TN 37421-1116

Phone

(423) 490-1599

NPI assigned

Feb 12, 2007

Organization subpart

Yes

Parent organization

SALT FOUNDATIONAs reported in NPPES

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

Authorized official

Name

John Strawn

Title

Administrator

Phone

(423) 490-1599

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Adult Day Care Standifer Gap2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maturecare of Standifer Place LLC

  • Skilled Nursing Facility
  • Chattanooga, TN
  • NPI 1780609651
  NPD tax ID

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1831230762",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "MATURECARE OF STANDIFER PLACE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALT FOUNDATION",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "STRAWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-490-1599"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "4041443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Bohrman OD LLC
• Matthew W. McClanahan, DO, PLLC
• Sarah Elizabeth Matthews
• Alyssa Matulich, BSN, RN
• Maturecare of Standifer Place LLC
• Mark Matus, MD
• Sydney Jade Matyczynski
• Dennis C. Matzkin, M.D.
• Raymond Andrew Maucere, D.C.
• Gary Mauldin, LMFT

• Rehabilitation Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.