Healthcare Provider Details

I. General information

NPI: 1487593067
Provider Name (Legal Business Name): THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WEAVER DAIRY RD
CHAPEL HILL NC
27514-1438
US

IV. Provider business mailing address

750 WEAVER DAIRY RD
CHAPEL HILL NC
27514-1438
US

V. Phone/Fax

Practice location:
  • Phone: 919-968-4511
  • Fax: 919-918-3263
Mailing address:
  • Phone: 919-968-4511
  • Fax: 919-918-3263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIANNE RATCLIFFE
Title or Position: CEO
Credential:
Phone: 919-918-3284