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TERRACE AT MOUNTAIN CREEK
NPI 1417152372
Point of Service in Chattanooga, TN

Active since June 19, 2007CLIA 44D0904249 · Waiver
1005 MOUNTAIN CREEK RD, CHATTANOOGA, TN 37405(423) 874-0200(423) 874-0358 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Terrace At Mountain Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRACE AT MOUNTAIN CREEK (NPI 1417152372) is a healthcare organization registered as a point of service in Chattanooga, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1417152372
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameTERRACE AT MOUNTAIN CREEK
Location Address1005 MOUNTAIN CREEK RDChattanooga, TN 37405-1638
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(423) 874-0200
Fax(423) 874-0358
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 19, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1417152372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1005 MOUNTAIN CREEK RD, Chattanooga, TN 37405
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0904249

Terrace At Mountain Creek, The · Chattanooga, TN
Active · expires Oct 7, 2026
CLIA Number44D0904249
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorKatrina M. Adams
Laboratory Phone(423) 874-0200
Laboratory LocationTerrace At Mountain Creek, The1005 Mountain Creek Road, Chattanooga, TN 37405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RIANA LAMUNYON PT, DPT, CEEAA, GCS
Physical Therapist
1005 MOUNTAIN CREEK RD
CHATTANOOGA, TN 37405
Hamilton County (423) 380-1599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrace At Mountain Creek's NPI number?

The NPI number for Terrace At Mountain Creek is 1417152372. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Terrace At Mountain Creek located?

Terrace At Mountain Creek is located at 1005 Mountain Creek Rd, Chattanooga, TN 37405. The listed phone number is (423) 874-0200.

What is Terrace At Mountain Creek's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Terrace At Mountain Creek hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0904249) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Terrace At Mountain Creek was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.