Chatham Ridge Assisted Living, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL019021 Issued in NC

Legal business name

CHATHAM RIDGE ASSISTED LIVING, LLC

Practice address

114 Polks Village Lane
Chapel Hill, NC 27515

Phone

(919) 918-7872

Fax

(919) 918-7876

NPI assigned

Apr 30, 2015

Last updated

Oct 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Ann Neagle

Title

VP Finance

Phone

(336) 993-7555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1467839217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD",
            "address_2": "SUITE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847143",
            "telephone_number": "336-993-6111",
            "fax_number": "336-993-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 POLKS VILLAGE LANE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27515",
            "telephone_number": "919-918-7872",
            "fax_number": "919-918-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM RIDGE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL019021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay H Chase, MD
• Michelle R Chasen, MA, LCMHCA, NCC
• Mark Benjamin Chaskes, MD
• Chatham Optometric OD PA (Carolina Vision Associates)
• Chatham Pediatrics PLLC
• Ashmita Chatterjee, MD
• Nicole Chaumont, MD
• Shivansh Chawla, DO
• Melissa Jean Cheatham
• Paul R Chelminski, MD

• Adult Care Home Facility in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.