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CHATHAM RIDGE ASSISTED LIVING, LLC
NPI 1467839217
Custodial Care Facility - Adult Care Home in Chapel Hill, NC

Active since April 30, 2015CLIA 34D2148013 · Waiver
114 POLKS VILLAGE LANE, CHAPEL HILL, NC 27515(919) 918-7872(919) 918-7876 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chatham Ridge Assisted Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHATHAM RIDGE ASSISTED LIVING, LLC (NPI 1467839217) is a healthcare organization registered as an adult care home in Chapel Hill, North Carolina and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Cynthia Ann Neagle, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1467839217
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCHATHAM RIDGE ASSISTED LIVING, LLC
Location Address114 POLKS VILLAGE LANEChapel Hill, NC 27515
Mailing Address853 Old Winston Rd, Suite 118Kernersville, NC 27284-7143 · (336) 993-6111 · Fax (336) 993-7555
Phone(919) 918-7872
Fax(919) 918-7876
Organization SubpartNo
Authorized OfficialCynthia Ann NeagleVp Finance · (336) 993-7555
Enumeration DateApril 30, 2015
Last NPPES UpdateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1467839217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · HAL019021
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
114 POLKS VILLAGE LANE, Chapel Hill, NC 27515
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2148013

Chatham Ridge Assisted Living · Chapel Hill, NC
Active · expires May 1, 2028
CLIA Number34D2148013
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorLisha Vandersteen
Laboratory Phone(919) 918-7872
Laboratory LocationChatham Ridge Assisted Living114 Polks Village Lane, Chapel Hill, NC 27516
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chatham Ridge Assisted Living, LLC's NPI number?

The NPI number for Chatham Ridge Assisted Living, LLC is 1467839217. It was assigned to this organization in the NPPES registry on April 30, 2015.

Where is Chatham Ridge Assisted Living, LLC located?

Chatham Ridge Assisted Living, LLC is located at 114 Polks Village Lane, Chapel Hill, NC 27515. The listed phone number is (919) 918-7872.

What is Chatham Ridge Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Chatham Ridge Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2148013) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chatham Ridge Assisted Living, LLC was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.