LEE STREET DEVELOPERS LLC NPI 1093942385

NPI Information

  • NPI: 1093942385
  • Provider Name: LEE STREET DEVELOPERS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ROSE OF SHARON'S SENIOR VILLA
  • Address: 5410 LEE AVE
    CHATTANOOGA, TN
    ZIP 37410
  • Phone: (423) 822-7673

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NPI Details

LEE STREET DEVELOPERS LLC is an assisted living facility in Chattanooga, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LEE STREET DEVELOPERS LLC NPI is 1093942385. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Of Sharon's Senior Villa.

The provider's business location address is:

5410 LEE AVE
CHATTANOOGA, TN
ZIP 37410-219
Phone: (423) 822-7673
Fax: (423) 821-2468

The provider's authorized official is Cheri Taneka Hudgins .
The authorized official title is Administrator and has the following contact phone number (423) 822-7673.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 2/3/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite CareACL000000292TENNESSEENo
2310400000XAssisted Living FacilityACL0000000292TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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