TAR RIVER LTC GROUP, LLC (NPI# 1184809279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184809279 |
| Entity Type | Organization |
| Organization Name | TAR RIVER LTC GROUP, LLC |
| Other Organization Name | ROANOKE LANDING NURSING AND REHABILITATION CENTER |
| Practice Address |
1084 Us Highway 64 E Plymouth NC 27962-9215 |
| Practice Telephone | 2527932100 |
| Practice Fax Number | 2527931243 |
| Mailing Telephone | 2527932100 |
| Mailing Fax Number | 2527931243 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | NORWOOD RANDOLPH UZZELL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0419 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805286 | 05 | |
| NC | 7806621 | 05 |
| Other Name | Type Code |
|---|---|
| Roanoke Landing Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285660787 | Tar River Ltc Group, LLC | Respite Care | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-06-25 |
| 1750317897 | Tar River Ltc Group, LLC | Skilled Nursing Facility | 250 Lovers Ln, Washington, NC 27889-3436 | 2006-06-23 |
| 1992741391 | Tar River Ltc Group, LLC | Skilled Nursing Facility | 119 Gatlin St, Williamston, NC 27892-2560 | 2006-06-22 |
| 1770529141 | Tar River Ltc Group, LLC | Custodial Care Facility | 3210 Western Blvd, Tarboro, NC 27886-1828 | 2006-06-22 |
| 1356386445 | Tar River Ltc Group, LLC | Skilled Nursing Facility | 430 W Health Center Dr, Nags Head, NC 27959-8943 | 2006-06-20 |
| 1083659692 | Tar River Ltc Group, LLC | Clinic/Center | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2006-06-18 |
| 1013951896 | Tar River Ltc Group, LLC | Skilled Nursing Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2006-06-15 |
| Street Address |
1084 US HIGHWAY 64 E |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285660787 | Tar River Ltc Group, LLC | Respite Care | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-06-25 |
| 1861003485 | The Carrolton of Plymouth, LLC | Skilled Nursing Facility | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2020-08-17 |
| 1760963771 | Mary Frances Rochelle | Speech-Language Pathologist | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2018-08-27 |
| 1275720609 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104242692 | Annelise Pfeiffer | Nursing Facility/Intermediate Care Facility | 1 Sleepy Hollow Dr, Plymouth, MA 02360-3579 | 2014-03-09 |
| 1770799058 | Newfield House, Inc. | Nursing Facility/Intermediate Care Facility | 19 Newfield St, Plymouth, MA 02360-3401 | 2007-05-15 |
| 1275720609 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.