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NPI 1285108654

OrganizationActive

Great Personal Care Service

NPI 1285108654 · PACE Provider Organization · Chattanooga, TN

Provider details

NPI number: 1285108654
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Organization subpart: No
Authorized official: Kimberly Porter, Authorized Official(478) 737-9211

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000X
Agencies

Practice location

2412 E 12th St

Chattanooga, TN 37404-4601

Phone: (423) 269-8856

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

2412 E 12th St

Chattanooga, TN 37404-4601

Additional practice locations (1)

905 N Orchard Knob Ave
Chattanooga, TN 37406-4216
Phone: (423) 269-8856

Registry dates

Enumerated: 2019-01-17
Last updated: 2024-12-19
Certified: 2024-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Great Personal Care Service — NPI 1285108654, Chattanooga, TN | NPI Central