Provider Demographics
NPI:1417350695
Name:OGR HOME CARE SERVICES
Entity Type:Organization
Organization Name:OGR HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCKSAND
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-309-2851
Mailing Address - Street 1:2314 FAIRLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-2507
Mailing Address - Country:US
Mailing Address - Phone:423-309-2845
Mailing Address - Fax:423-309-2845
Practice Address - Street 1:2314 FAIRLEIGH ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-2507
Practice Address - Country:US
Practice Address - Phone:423-309-2845
Practice Address - Fax:423-309-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle