SJK of Chattanooga, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000004331 Issued in TN

Legal business name

SJK OF CHATTANOOGA, INC

Doing business as

Sharon's Personal Care

Practice address

2000 Raulston St
Chattanooga, TN 37404-1432

Phone

(423) 698-2611

Fax

(423) 698-2911

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Jo Kelly, RN

Title

President

Phone

(423) 698-2611

Specialties & licenses 1

Addresses

Other names 1

• Sharon's Personal Care Doing business as

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1912133463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RAULSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041432",
            "telephone_number": "423-698-2611",
            "fax_number": "423-698-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RAULSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041432",
            "telephone_number": "423-698-2611",
            "fax_number": "423-698-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJK OF CHATTANOOGA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-698-2611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000004331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon's Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.