PROLEX MEDICAL SERVICES, INC (NPI# 1902942485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902942485 |
| Entity Type | Organization |
| Organization Name | PROLEX MEDICAL SERVICES, INC |
| Practice Address |
2229 Olan Mills Dr Chattanooga TN 37421 |
| Practice Telephone | 4232964224 |
| Practice Fax Number | 4232964230 |
| Mailing Telephone | 4232964224 |
| Mailing Fax Number | 4232964230 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-05-28 |
| Authorized Official Name | LEXIE E WHITE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4232964224 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TN | Residential Treatment Facilities |
| Street Address |
2229 OLAN MILLS DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427283738 | Tamara Carr Shaver | Dietitian, Registered | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2009-05-16 |
| 1508043183 | Colin Lance Moore | Counselor | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2008-01-26 |
| 1235316811 | Jill Nelson | Counselor | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2008-01-26 |
| 1629110457 | Gary P Gesualdi | Family Medicine | 2229 Olan Mills Dr, Chattanooga, TN 37421 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396149985 | Community Options, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5751 Uptain Rd, Suite 407, Chattanooga, TN 37411-4010 | 2014-10-10 |
| 1013070150 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6166 Shallowford Rd, Suite 105, Chattanooga, TN 37421-7221 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873056 | Phoenix Choices LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 Salisbury Ln, Knoxville, TN 37934-5096 | 2020-02-20 |
| 1629611637 | Calico Developmental Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3874 Viscount Ave Ste 7, Memphis, TN 38118-6000 | 2019-10-22 |
| 1841831005 | Whiting Young LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4034 Brompton Rd, Memphis, TN 38118-6717 | 2019-09-30 |
| 1376906073 | Absolute Best Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9915 Garden Trail Cv, Collierville, TN 38017-9418 | 2016-03-30 |
| 1801256755 | Alpha & Omega Home/healthcare Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 401 W Old Hickory Blvd, Madison, TN 37115-3609 | 2016-03-03 |
| 1295139871 | Community Options, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2815 Patriot Way, Nashville, TN 37214-3541 | 2014-10-10 |
| 1093117665 | Hope for Tomorrow Center for Supportive &assisted Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1069 Mcevers Rd, Memphis, TN 38111-6579 | 2014-09-25 |
| 1215274873 | Open Home Transitional Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6010 Cortez Ct, Hermitage, TN 37076-2404 | 2013-01-15 |
| 1023381456 | Archer Care Homes, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Clearview Dr, Lebanon, TN 37087-3202 | 2012-02-15 |
| 1598075715 | Elizabeth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1326 Rose L. Parks Blvd., Suite B, Nashville, TN 37208 | 2010-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.