TRC OF LOUISBURG, INC. (NPI# 1669449542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669449542 |
| Entity Type | Organization |
| Organization Name | TRC OF LOUISBURG, INC. |
| Other Organization Name | LOUISBURG MANOR |
| Practice Address |
114 Smoketree Way Louisburg NC 27549-2117 |
| Mailing Address |
Po Box 589 Louisburg NC 27549-0589 |
| Practice Telephone | 9194966084 |
| Practice Fax Number | 9194965458 |
| Mailing Telephone | 9194966084 |
| Mailing Fax Number | 9194965458 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NICK ELLEDGE (VICE PRESIDENT) |
| Authorized Official Telephone | 3366798852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL-035-003 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7801294 | 05 |
| Other Name | Type Code |
|---|---|
| Louisburg Manor | Doing Business As Name - Organization |
| Street Address |
114 SMOKETREE WAY |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118089 | Liberty Healthcare Group, LLC | Assisted Living Facility | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2019-08-02 |
| 1548721731 | Rachel Seagroves | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2019-03-29 |
| 1548738487 | Beatrice Wheeler Perry | Speech-Language Pathologist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-11-08 |
| 1992297303 | Angela Belinda Williams | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-05-31 |
| 1093204711 | Todd Randall Baker | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-05-08 |
| 1972090579 | Kathryn Allen | Occupational Therapist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-04-18 |
| 1215438627 | Amanda Gamel | Occupational Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-02-22 |
| 1871986117 | Ashley Gordon | Occupational Therapist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2015-03-11 |
| 1366752990 | Joshua Garrison Hicks | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2010-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1861992778 | Joyce Ekwutosi Ogbu | Custodial Care Facility | 205 Bunn Rd, Louisburg, NC 27549-2705 | 2018-02-16 |
| 1962753954 | Rehoboth Group, LLC | Custodial Care Facility | 844 Nc Highway 39 S, Louisburg, NC 27549-7114 | 2012-10-01 |
| 1508982489 | Divine Family Care Home Inc. | Custodial Care Facility | 306 Lumpkin Blvd, Franklin County, Louisburg, NC 27549-2143 | 2007-03-22 |
| 1578601365 | Louisburg Senior Village | Custodial Care Facility | 1233 Hwy 56 East, Louisburg, NC 27549 | 2007-02-02 |
| 1194344341 | Heart To Heart Family Care Home | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549-7435 | 2020-04-08 |
| 1538660121 | Pinewood Manor of Nc Inc | Custodial Care Facility | 205 Bunn Rd, Louisburg, NC 27549-2705 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1598302960 | Ga Hc Reit II Lincolnton Alf Trs Sub, LLC | Custodial Care Facility | 440 Salem Church Rd, Lincolnton, NC 28092-8856 | 2019-12-04 |
| 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.