Irene Wortham Residential Center, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL-011-036 Issued in NC

Legal business name

IRENE WORTHAM RESIDENTIAL CENTER, INC.

Practice address

16 Azalea Street
Asheville, NC 28803-2814

Phone

(828) 274-7518

Fax

(828) 274-1582

NPI assigned

Feb 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G150

Legal name

IRENE WORTHAM RESIDENTIAL CENTER-AZALEA

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 26, 1990

Last certification

Sep 30, 2025

Beds

6

Ownership / control type

Private (non-profit)

Most recent change of ownership

Sep 24, 2019

Facility address

16 Azalea Street
Asheville, NC 28803

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 1457496010
  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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1710022785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WEST CHAPEL ROAD",
            "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": "16 AZALEA STREET",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032814",
            "telephone_number": "828-274-7518",
            "fax_number": "828-274-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE WORTHAM RESIDENTIAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "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-011-036",
            "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": "3406595",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Anne S Irvine, MD

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.