Irene Wortham Residential Center, Inc.

LBN: Irene Wortham Residential Center, Inc.
Irene Wortham Residential Center, Inc. is an health care organization with primary practice located at 2 Rose St W , Asheville NC 28803-2856. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Irene Wortham Residential Center, Inc. can be contacted via phone (828) 274-7518, or through Henry, R. Matthew via phone (828) 274-7518.

Contact Information

Primary practice address
2 Rose St W Asheville NC 28803-2856
Phone: (828) 274-7518
Fax: (828) 274-1582
Website:
Map and Directions
Authorized official contact:
Name: Henry, R. Matthew
Phone: (828) 274-7518

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-011-108 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X North Carolina

Profile Details

NPI number 1457496010
LBN Legal business name Irene Wortham Residential Center, Inc.
DBA Doing business as
Authorized official Henry, R. Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457496010 NPPES
North Carolina MEDICAID 340610T

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