TAR RIVER LTC GROUP, LLC (NPI# 1285660787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285660787 |
| 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 | 2006-06-25 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | NH0419 | NC | Respite Care Facility |
| Y | 314000000X | Skilled Nursing Facility | NH0419 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7806621 | 05 | |
| NC | 3435266 | 05 | |
| NC | BC/BS OF NC | 0085E | 01 |
| NC | 3436404 | 05 | |
| NC | 3445266 | 05 |
| Other Name | Type Code |
|---|---|
| Roanoke Landing Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1084 US HIGHWAY 64 E |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184809279 | Tar River Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 1084 Us Highway 64 E, Plymouth, NC 27962-9215 | 2008-01-08 |
| 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 | 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. |
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| 1396990370 | New Living LLC | Skilled Nursing Facility | 1020 W Medicine Lake Dr, Plymouth, MN 55441-4513 | 2008-11-18 |
| 1205979457 | Cook Willow Convalescent Hospital, Inc. | Skilled Nursing Facility | 81 Hillside Ave, Plymouth, CT 06782-2305 | 2007-02-15 |
| 1003988049 | County of Sheboygan | Skilled Nursing Facility | N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 | 2006-11-14 |
| 1942213954 | Mission Farm Nursing Home, Inc | Skilled Nursing Facility | 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307 | 2006-08-14 |
| 1700828357 | Heartland-plymouth Court Mi LLC | Skilled Nursing Facility | 105 N Haggerty Rd, Plymouth, MI 48170-1801 | 2006-06-11 |
| 1699727560 | Ggnsc Plymouth LLC | Skilled Nursing Facility | 19 Obery St, Plymouth, MA 02360-2129 | 2006-05-17 |
| Find all providers in PLYMOUTH | ||||
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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.