TAR RIVER LTC GROUP, LLC (NPI# 1013951896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013951896 |
| Entity Type | Organization |
| Organization Name | TAR RIVER LTC GROUP, LLC |
| Other Organization Name | NORTHAMPTON NURSING AND REHABILITATION CENTER |
| Practice Address |
200 Hampton Woods Complex Jackson NC 27845-9503 |
| Practice Telephone | 2525340131 |
| Practice Fax Number | 2525349926 |
| Mailing Telephone | 2525340131 |
| Mailing Fax Number | 2525349926 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | MR. KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0537 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS OF NC | 0092C | 01 |
| NC | 3415313 | 05 | |
| NC | 3425313 | 05 |
| Other Name | Type Code |
|---|---|
| Northampton 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 |
| 1184809279 | Tar River Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2008-01-08 |
| Street Address |
200 HAMPTON WOODS COMPLEX |
| City | JACKSON |
| State | NC |
| Zip Code | 27845-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164679924 | Franklin Alexander Measamer Jr. | Occupational Therapist | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-08-24 |
| 1992952980 | Patricia Adams Demilio | Physical Therapist | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-08-21 |
| 1205096781 | Kindred Healthcare | Skilled Nursing Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-06-10 |
| 1073770475 | Kindred Healthcare | Skilled Nursing Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-05-22 |
| 1245407857 | Kindred Healthcare | Skilled Nursing Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-05-13 |
| 1003082249 | Heather Sutton Banks | Occupational Therapy Assistant | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2008-05-07 |
| 1407043839 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
| 1013244342 | Cnc/access Inc. | In Home Supportive Care | 9486 Nc Hwy 305, Jackson, NC 27845 | 2009-11-06 |
| 1699002923 | Cnc/access Inc | Community/Behavioral Health | 9486 Nc Highway 305, Jackson, NC 27845 | 2009-11-06 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1881890424 | Northampton County Dss | Public Health or Welfare | 9467 Nc 305 Hwy., Jackson, NC 27845 | 2007-06-21 |
| 1588868400 | Northampton County | Ambulance | 132 Landfeild Road, Jackson, NC 27845 | 2007-06-13 |
| 1689626178 | Rural Health Group, Inc. | Clinic/Center | 9425 Nc 305 Hwy, Jackson, NC 27845 | 2006-05-16 |
| 1538687132 | Shatoya Ronique Joyner | Social Worker | 9486 Nc Highway 305, Jackson, NC 27845 | 2017-09-03 |
| 1760707996 | Integrated Family Services, Pllc | Social Worker | 9486 Nc Hwy 305, Jackson, NC 27845 | 2010-03-31 |
| 1659538825 | Megan Kathleen Farrelly | Dentist | 9409 Nc Hwy 305, Jackson, NC 27845 | 2008-05-16 |
| Find all providers in zip 27845 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326348897 | Laurie L. Mcbride | Skilled Nursing Facility | 180 W University Pkwy Ste H, Jackson, TN 38305-1612 | 2010-10-29 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1568791804 | North Street Healthcare LLC | Skilled Nursing Facility | 865 North St, Jackson, MS 39202-3020 | 2009-12-16 |
| 1679712665 | West Tennessee Transitional Care Inc | Skilled Nursing Facility | 597 West Forest Ave, Jackson, TN 38301 | 2009-02-13 |
| 1285802652 | Trilogy Healthcare of Jackson, LLC | Skilled Nursing Facility | 703 Robinson Road, Jackson, MI 49203-2538 | 2008-02-19 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1760521256 | Omni Visions, Inc | Skilled Nursing Facility | 50 Directors Row, Jackson, TN 38305 | 2007-02-05 |
| 1326197211 | Cottage Grove Nursing Home, Lp | Skilled Nursing Facility | 1116 Forest Ave, Jackson, MS 39206-3216 | 2007-01-09 |
| 1164597688 | Countryside Care Center, Inc. | Skilled Nursing Facility | 2121 Robinson Rd, Jackson, MI 49203-3658 | 2006-11-21 |
| 1073687083 | Chadwick Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1900 Chadwick Dr, Jackson, MS 39204-3406 | 2006-11-20 |
| Find all providers in JACKSON | ||||
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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.