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 16 Azalea Street , Asheville NC 28803-2814. 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
16 Azalea Street
Asheville NC 28803-2814
Phone: (828) 274-7518
Fax: (828) 274-1582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | MHL-011-036 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | North Carolina |
Profile Details
| NPI number | 1710022785 |
|---|---|
| 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 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710022785 | NPPES |
| North Carolina | MEDICAID | 3406595 |
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