Organization
MATURECARE OF STANDIFER PLACE LLC
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
Legal business name
SALT FOUNDATION
Authorized official
MR. JOHN B MORTON (PRESIDENT)
(615) 893-7523
Entity
Organization
Contact information
Practice address
2626 WALKER RD, CHATTANOOGA, TN 37421-1116
(423) 490-1599
Mailing address
2626 WALKER RD, CHATTANOOGA, TN 37421-1116
(423) 490-1599
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
103
TN
Other
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
—
Enumeration date
07/13/2006
Last updated
07/07/2020
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