NPI Code Details Logo

NPI 1023520343

NPI 1023520343 : LHCG CXXXV LLC : CHATTANOOGA, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023520343
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LHCG CXXXV LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/26/2017
-----------------------------------------------------
    Last Update Date     |    10/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4289 BONNY OAKS DR STE 201-B 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37406-1600
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-386-1152
-----------------------------------------------------
    Fax                  |    423-624-0309
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2030 HAMILTON PLACE BLVD STE 120 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37421-6123
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-386-1152
-----------------------------------------------------
    Fax                  |    423-624-0309
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    SECRETARY
-----------------------------------------------------
    Name                 |     AMBER L TUELLER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    208-207-2726
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.