Individual provider Active NPI

Charles Howard Ratcliff, HEALTH CARE PROVIDER

  • Assisted Living Facility
  • Asheville,, NC
National Provider Identifier
1669622973
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-011-276 Issued in NC
Practice address
75 Kuykendall Branch Road
Asheville,, NC 28804-9612
Phone
(828) 281-4863
Fax
(828) 281-9060
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-011-276 NC Primary
Assisted Living Facility 310400000X FCL-011-275 NC

Addresses

Primary practice location

75 Kuykendall Branch Road
Asheville,, NC 28804-9612

Mailing address

119 Richland Street
Asheville,, NC 28806-4625
Phone (828) 281-4863

Other identifiers 2

IdentifierTypeStateIssuer
7805818MedicaidNC
7805827MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FCL-011-275NCMDAssisted Living Facility
FCL-011-276NCMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1669622973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 RICHLAND STREET",
            "city": "ASHEVILLE,",
            "state": "NC",
            "postal_code": "288064625",
            "telephone_number": "828-281-4863",
            "fax_number": "828-281-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 KUYKENDALL BRANCH ROAD",
            "city": "ASHEVILLE,",
            "state": "NC",
            "postal_code": "288049612",
            "telephone_number": "828-281-4863",
            "fax_number": "828-281-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "CHARLES",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "HEALTH CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-011-276",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-011-275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805818",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805827",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville,, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.