MEDICARE: SISTERS' HOUSE COMMUNITY SUPPORT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922962588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISTERS' HOUSE COMMUNITY SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	1605 PARKWAY DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37406-2753
Country	:	US
Telephone Number	:	423-206-6911
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W MLK # 1054
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-2560
Country	:	US
Telephone Number	:	423-206-6911
Fax Number	:

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	MS. ANGELA L. ROBERTS
Credential	:
Telephone Number	:	423-206-6911

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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