HERITAGE HEALTH NORTHEAST INC (NPI# 1154441210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154441210 |
| Entity Type | Organization |
| Organization Name | HERITAGE HEALTH NORTHEAST INC |
| Practice Address |
735 E 10th St Chattanooga TN 37403-2917 |
| Mailing Address |
6727 Heritage Business Ct Suite 712 Chattanooga TN 37421-7015 |
| Practice Telephone | 4235109504 |
| Practice Fax Number | 4235109548 |
| Mailing Telephone | 4235109504 |
| Mailing Fax Number | 4235109548 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GERALD T NICKELL (PRESIDENT) |
| Authorized Official Telephone | 4235109504 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | P0000001470 | TN | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3733189 | 05 |
| Street Address |
735 E 10TH ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460136 | Dee Langford | Psychologist | 735 E 10th St, Chattanooga, TN 37403-2917 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234015 | Stephane Lacy Cole | Day Training/Habilitation Specialist | 3860 S Germantown Rd, Memphis, TN 38125-2003 | 2019-06-18 |
| 1598249120 | Cinde O Morton | Day Training/Habilitation Specialist | 1320 Bullock Hollow Rd, Bristol, TN 37620-1116 | 2018-09-19 |
| 1639698863 | Jobwise | Day Training/Habilitation Specialist | 5533 Murphywood Xing, Antioch, TN 37013-2391 | 2017-09-19 |
| 1306232145 | Takesha Pratt | Day Training/Habilitation Specialist | 6819 Knollcrest Dr, Harrison, TN 37341-9470 | 2015-04-08 |
| 1326464330 | Tammy Hulbert | Day Training/Habilitation Specialist | 5416 Gardendale St., Memphis, TN 38141 | 2014-03-14 |
| 1932714953 | Valencia Baymon | Day Training/Habilitation Specialist | 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 | 2020-09-15 |
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on HERITAGE HEALTH NORTHEAST INC.
| 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.