Provider Demographics
NPI:1396746079
Name:THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC.
Entity type:Organization
Organization Name:THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPRIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-968-4511
Mailing Address - Street 1:750 WEAVER DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1438
Mailing Address - Country:US
Mailing Address - Phone:919-968-4511
Mailing Address - Fax:919-918-3272
Practice Address - Street 1:750 WEAVER DAIRY RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1438
Practice Address - Country:US
Practice Address - Phone:919-968-4511
Practice Address - Fax:919-918-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0258314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBCBS0286JOtherCLINIC
NCBCBS00940OtherSKILLED NURSING FACILITY
NCBCBS0286JOtherCLINIC
NC345199Medicare Oscar/Certification