Chatham Creek Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-092-119 Issued in NC

Legal business name

CHATHAM CREEK HOLDINGS LLC

Practice address

809 W Chatham St
Cary, NC 27511-3136

Phone

(919) 469-9309

Fax

(919) 469-4565

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chatham Creek Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164437844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 8TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013312",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113136",
            "telephone_number": "919-469-9309",
            "fax_number": "919-469-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM CREEK HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805557",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte a Michie LCSW PLLC
• Dan R Chartier, PHD
• Kimberly J. Chase
• Mickia Eudora Chase
• Nicole Chase, MSW, LCSWA
• Manjusri Chatterjee, MD
• Sanjay Chaudhary, M.D.
• Vandna Chaudhary, OTR
• Akanksha Chauhan
• Angely Chavez

• Assisted Living Facility in Cary, NC
• Providers in Cary, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.