Tar River Ltc Group, Llc in Plymouth - Nursing Facility/intermediate Care Facility

Tar River Ltc Group, Llc - NPI 1184809279

Tar River Ltc Group, Llc is a Nursing Facility/intermediate Care Facility in Plymouth, North Carolina. Tar River Ltc Group, Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Tar River Ltc Group, Llc is 1184809279. The last update date is 2012-05-09.

Tar River Ltc Group, Llc's current location address is 1084 Us Highway 64 E, Plymouth, North Carolina. You can contact this provider via phone number 2527932100 and fax number 2527931243. The mailing address for Tar River Ltc Group, Llc is 1084 Us Highway 64 E, Plymouth, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tar River Ltc Group, Llc
Address 1084 Us Highway 64 E, Plymouth, North Carolina
Phone Number 2527932100
Fax Number 2527931243
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Uzzell Randolph Norwood
Telephone Number 2525239094

NPI Number Detail

NPI Number 1184809279
Provider Enumeration Date 2008-01-08
Last Updated Date 2012-05-09

Provider Mailing Address Detail

Address 1084 Us Highway 64 E
City Plymouth
State North Carolina (NC)
Post Code 279629215
Phone Number 2527932100
Fax Number 2527931243

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No NH0419
Definition:
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 reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7806621 NC --
7805286 NC --

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FAQs about Tar River Ltc Group, Llc

What is the unique provider identifier assigned to Tar River Ltc Group, Llc?

The Tar River Ltc Group, Llc has been issued the NPI (National Provider Identifier) 1184809279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Tar River Ltc Group, Llc's facilities are situated?

The facilities of Tar River Ltc Group, Llc are physically located at the following address: 1084 Us Highway 64 E, Plymouth, NC, 279629215.

What is Tar River Ltc Group, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tar River Ltc Group, Llc is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.

On what date did the Tar River Ltc Group, Llc receive its 1184809279 assignment from the Centers for Medicare & Medicaid Services?

The Tar River Ltc Group, Llc was assigned its 1184809279 by the Centers for Medicare & Medicaid Services on 2008-01-08.

When was the Tar River Ltc Group, Llc's information last updated?

The Tar River Ltc Group, Llc's information was last updated on 2012-05-09.

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