Provider Demographics
NPI:1164418976
Name:SAINT BARNABAS APARTMENTS, INC.
Entity Type:Organization
Organization Name:SAINT BARNABAS APARTMENTS, INC.
Other - Org Name:SAINT BARNABAS SENIOR LIVING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:TEDD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-267-3764
Mailing Address - Street 1:600 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1712
Mailing Address - Country:US
Mailing Address - Phone:423-267-5320
Mailing Address - Fax:423-756-6711
Practice Address - Street 1:600 PINE ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1712
Practice Address - Country:US
Practice Address - Phone:423-267-5320
Practice Address - Fax:423-756-6711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACL0000000134310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility