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MATURECARE OF STANDIFER PLACE LLC NPI 1780609651


NPI Information

NPI: 1780609651
Provider Name: MATURECARE OF STANDIFER PLACE LLC

Doing Business As: THE HEALTH CENTER AT STANDIFER PLACE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
2626 WALKER RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 490-1599
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MATURECARE OF STANDIFER PLACE LLC is a skilled nursing facility in Chattanooga, TN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. MATURECARE OF STANDIFER PLACE LLC NPI is 1780609651. The provider is registered as an organization entity type.
The provider Is Doing Business As The Health Center At Standifer Place.

The provider's business location address is:

2626 WALKER RD
CHATTANOOGA, TN
ZIP 37421-116
Phone: (423) 490-1599

The provider's authorized official is John B Morton .
The authorized official title is President and has the following contact phone number (615) 893-7523.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2261QA0600XClinic/CenterAdult Day CareNo
3310400000XAssisted Living FacilityNo
4314000000XSkilled Nursing Facility103TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10445111MEDICAIDTENNESSEE
27544368OTHERAETNA
3702010155OTHERCARITEN
47440081MEDICAIDTENNESSEE
53151760OTHERTENNESSEEBCBS
601400793OTHERCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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