OrganizationActive
Orange Grove Center, Inc
NPI 1255540993 · Intellectual Disabilities Intermediate Care Facility · Hixson, TN
Provider details
- NPI number
- 1255540993
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tera Roberts, Executive Director(423) 629-1451
- License
- 3230961565 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1524 Shelby Cir
Hixson, TN 37343-3025
Phone: (423) 629-1451
Fax: (423) 624-1294
Approximate (ZIP-level) locationGet directions
Mailing address
615 Derby St
Chattanooga, TN 37404-1632
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.