Organization Active NPI

Mountain Area Residential Facilities, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Asheville, NC
National Provider Identifier
1871650879
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.
Practice address
22 Chiles Ave
Asheville, NC 28803
Phone
(828) 254-8068
Fax
(828) 299-3302
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Amber Locklear
Title
Executive Director
Phone
(828) 299-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X MHL-011-024 NC
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

22 Chiles Ave
Asheville, NC 28803

Mailing address

PO Box 5514
Asheville, NC 28813
Phone (828) 299-3636

Other identifiers 1

IdentifierTypeStateIssuer
3406410MedicaidNC

Other names 1

  • Chiles Avenue Group Home Other name

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G075

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHILES AVENUE GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 4, 1988
Last certification
Feb 18, 2026
Beds
6
Ownership / control type
Private (non-profit)
Most recent change of ownership
Jan 22, 2019
Facility address
22 Chiles Avenue
Asheville, NC 28803

National Provider Directory

National Provider Directory
Tax ID family
Chiles Avenue Group Home3 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.

Locations

22 Chiles Ave
Asheville, NC 28803
Phone (828) 254-8068

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1871650879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5514",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28813",
            "telephone_number": "828-299-3636",
            "fax_number": "828-299-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHILES AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-254-8068",
            "fax_number": "828-299-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-299-3636"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "MHL-011-024",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406410",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiles Avenue Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Chiles Avenue Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.