Irene Wortham Residential Center, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL-011-108 Issued in NC

Legal business name

IRENE WORTHAM RESIDENTIAL CENTER, INC.

Practice address

2 Rose St W
Asheville, NC 28803-2856

Phone

(828) 274-7518

Fax

(828) 274-1582

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

R. Matthew Henry

Title

President & Ceo

Phone

(828) 274-7518

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Irene Wortham Residential Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Irene Wortham Residential Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Asheville, NC
  • NPI 1710022785
  NPD tax ID
• Irene Wortham Residential Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Asheville, NC
  • NPI 1922142256
  NPD tax ID

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1457496010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W CHAPEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032844",
            "telephone_number": "828-274-7518",
            "fax_number": "828-274-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROSE ST W",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032856",
            "telephone_number": "828-274-7518",
            "fax_number": "828-274-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE WORTHAM RESIDENTIAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "R. MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "828-274-7518"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-011-108",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340610T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Interact - Social and Functional Communication
• Interactive Resources, LLC
• Amelia Ann Iracane, LCSW-A, LCAS-P
• Erin Ann Iraggi, LCSW
• Irene Wortham Center, Inc.
• Irene Wortham Residential Center, Inc.
• Irene Wortham Residential Center, Inc.
• Kerry C Irish, MSW, LCSW, OSW-C
• Elizabeth Irvin, LCSW
• Susan Irvin, RPSGT, CCSH

• Intellectual Disabilities Intermediate Care Facility in Asheville, NC
• Providers in Asheville, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.