WP-Arc Chatham Holdings, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WP-ARC CHATHAM HOLDINGS, LLC

Practice address

825 E Walnut St
Chatham, IL 62629-1737

Phone

(217) 483-4661

Fax

(217) 483-4662

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Henry James Vaughn

Title

Reimbursement Analyst

Phone

(240) 595-6025

Specialties & licenses 1

Addresses

Other names 1

• Villas of Holly Brook - Chatham Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1851997712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E WALNUT ST",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291737",
            "telephone_number": "217-483-4661",
            "fax_number": "217-483-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E WALNUT ST",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291737",
            "telephone_number": "217-483-4661",
            "fax_number": "217-483-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-ARC CHATHAM HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villas of Holly Brook - Chatham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah L. Wilks, NP
• Doris Marie Williams, M.D.
• Willowglen Academy
• Willowglen Academy Il
• Vanessa Worsley, BCBA
• Sahar Yazdani, M.D.

• Assisted Living Facility in Chatham, IL
• Providers in Chatham, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.