ALEXIAN BROTHERS COMMUNITY SERVICES (NPI# 1114274024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114274024 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS COMMUNITY SERVICES |
| Practice Address |
425 Cumberland St Suite 110 Chattanooga TN 37404-1909 |
| Practice Telephone | 4236980802 |
| Practice Fax Number | 4234959145 |
| Mailing Telephone | 4236980802 |
| Mailing Fax Number | 4234959145 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | MRS. CRISS GRANT (DIR. OF PLANNING AND COMMUNICATIONS) |
| Authorized Official Telephone | 4236980802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | AHIMA | 1080895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871825950 | Alexian Brothers Community Services | In Home Supportive Care | 1000 Newby St, Chattanooga, TN 37402-2703 | 2010-02-01 |
| 1609977909 | Alexian Brothers Community Services | Health Maintenance Organization | 425 Cumberland St, Chattanooga, TN 37404-1905 | 2006-09-26 |
| Street Address |
425 CUMBERLAND ST SUITE 110 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609977909 | Alexian Brothers Community Services | Health Maintenance Organization | 425 Cumberland St, Chattanooga, TN 37404-1905 | 2006-09-26 |
| 1083071658 | Ailane Anderson | Licensed Practical Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-27 |
| 1588021240 | Jaimie Blalock | Licensed Practical Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-26 |
| 1063879229 | Tana Meador | Social Worker | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-19 |
| 1295192631 | Pamela Sutton | Licensed Practical Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-15 |
| 1013374487 | Roberta Llewellyn | Occupational Therapist | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-15 |
| 1114383676 | Sandra Patton | Registered Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-13 |
| 1053777508 | Lori Foster | Licensed Practical Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-13 |
| 1588020036 | Sarah Wright | Licensed Practical Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-13 |
| 1659737112 | Melissa Bible | Registered Nurse | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2016-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108654 | Great Personal Care Service | PACE Provider Organization | 2412 E 12th St, Chattanooga, TN 37404-4601 | 2019-01-17 |
| 1679640627 | Alexian Brothers Community Services of Tennessee | PACE Provider Organization | 425 Cumberland St, Ste. 110, Chattanooga, TN 37404-1905 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780943191 | Nursefirst, LLC | PACE Provider Organization | 127 Perimeter Park Road, Suite A, Knoxville, TN 37922 | 2012-05-07 |
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.