BROKEN HEALER HOME – NPI #1255199949
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

BROKEN HEALER HOME is a residential treatment facility located in CHATTANOOGA, TN. NPPES has assigned the NPI number 1255199949 to BROKEN HEALER HOME on March 07, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 2 years ago on Mar 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROKEN HEALER HOME below.

NPI Profile for
BROKEN HEALER HOME

NPI Number
1255199949
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROKEN HEALER HOME
Primary location
2423 CEDAR CREEK DR
CHATTANOOGA, TN 37421-2006
Phone: (423) 242-8551 Fax:
Mailing address
1220 RYNES RD
DECATUR, TN 37322-7420
Phone: (423) 242-8551 Fax:
Organization Subpart
No
Authorized Official
NIRVA ACHE
CEO
Phone: (423) 242-8551
Updated
Certification Date
Mar 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.