# MATURECARE OF STANDIFER PLACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SALT FOUNDATION
- **Other names:** Assistive Services at Standifer Place, The Health Center at Standifer Place, Adult Day Care @ Standifer Gap, Assisted Living at Standifer Place
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780609651
- **Legal business name:** SALT FOUNDATION
- **Authorized official:** MR. JOHN B MORTON (PRESIDENT)
- **Authorized official phone:** (615) 893-7523

## Contact information

- **Practice address:** 2626 WALKER RD, CHATTANOOGA, TN 37421-1116
- **Practice address phone:** (423) 490-1599
- **Mailing address:** 2626 WALKER RD, CHATTANOOGA, TN 37421-1116
- **Mailing address phone:** (423) 490-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 103 | TN | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 07/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01400793 | CIGNA | — |
| 05 | — | 0445111 | — | TN |
| 01 | — | 3151760 | BCBS | TN |
| 01 | — | 702010155 | CARITEN | — |
| 05 | — | 7440081 | — | TN |
| 01 | — | 7544368 | AETNA | — |