Organization · Type 2 NPI

Tarboro Opco LLC

Adult Care Home Facility · Tarboro, NC

NPI number 1154942134 Active

Practice location

3210 Western Blvd
Tarboro, NC 27886-1828

Call (252) 823-8546 Map

Fax (252) 823-3878

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed

Adult Care Home Facility: 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.

3 other providers at this address

Other adult care home facility providers in Tarboro

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NPI record

NPI: 1154942134
Entity type: Organization (Type 2)
Issued: May 1, 2020
Last updated: Nov 9, 2021
Status: Active

Other names

<unavail>
Tarboro Senior Living · doing business as
The Bridges of Hendricks Creek · doing business as

Authorized official

Charles E Trefzger
Manager
(828) 322-5535

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154942134

Tarboro Opco LLC's National Provider Identifier is 1154942134, issued on May 1, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tarboro, NC. The record was last updated on Nov 9, 2021.