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HOME SWEET HOME SUPPORTIVE LIVING INC. NPI 1669864625


NPI Information

NPI: 1669864625
Provider Name: HOME SWEET HOME SUPPORTIVE LIVING INC.

Former Legal Business Name: HOME SWEET HOME ASSISTED LIVING INC.

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1618 GUNBARREL RD
103
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 619-1234
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HOME SWEET HOME SUPPORTIVE LIVING INC. is an adult care home custodial care facility in Chattanooga, TN. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HOME SWEET HOME SUPPORTIVE LIVING INC. NPI is 1669864625. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Home Sweet Home Assisted Living Inc..

The provider's business location address is:

1618 GUNBARREL RD
103
CHATTANOOGA, TN
ZIP 37421-134
Phone: (423) 619-1234

The provider's authorized official is Melissa Higdon .
The authorized official title is Ceo/president/owner and has the following contact phone number (423) 834-6979.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.


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
1311ZA0620XCustodial Care FacilityAdult Care Home057920TENNESSEEYes

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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