Organization Active NPI

Univita of Tennessee, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1972771707
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000510 Issued in TN
Legal business name
UNIVITA OF TENNESSEE, INC.
Practice address
2900 Dodds Ave
Chattanooga, TN 37407-1628
Phone
(423) 757-9400
Fax
(723) 757-9445
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. Jeff Sjobeck
Title
Vice President
Phone
(952) 516-6289

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000510 TN Primary
Customized Equipment (DME) 332BC3200X 0000000510 TN

Addresses

Primary practice location

2900 Dodds Ave
Chattanooga, TN 37407-1628

Mailing address

2900 Dodds Ave
Chattanooga, TN 37407-1628
Phone (423) 757-9400

Other identifiers 1

IdentifierTypeStateIssuer
1452401MedicaidTN

National Provider Directory

National Provider Directory

Locations

2900 Dodds Ave
Chattanooga, TN 37407
Phone (423) 757-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1972771707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374071628",
            "telephone_number": "423-757-9400",
            "fax_number": "423-757-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374071628",
            "telephone_number": "423-757-9400",
            "fax_number": "723-757-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVITA OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SJOBECK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-516-6289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000510",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "0000000510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452401",
            "state": "TN"
        }
    ],
    "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 Dec 18, 2012; 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.