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CHATHAM RIDGE ASSISTED LIVING LLC NPI 1467839217


NPI Information

NPI: 1467839217
Provider Name: CHATHAM RIDGE ASSISTED LIVING, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2148013

Address:
114 POLKS VILLAGE LANE
CHAPEL HILL, NC
ZIP 27515
Phone: (919) 918-7872
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CHATHAM RIDGE ASSISTED LIVING, LLC is an adult care home custodial care facility in Chapel Hill, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CHATHAM RIDGE ASSISTED LIVING, LLC NPI is 1467839217. The provider is registered as an organization entity type.

The provider's business location address is:

114 POLKS VILLAGE LANE
CHAPEL HILL, NC
ZIP 27515
Phone: (919) 918-7872
Fax: (919) 918-7876

The provider's authorized official is Cynthia Ann Neagle .
The authorized official title is Vp Finance and has the following contact phone number (336) 993-7555.

The CLIA number assigned to this NPI record is 34D2148013 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 10/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeHAL019021NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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