Organization · Type 2 NPI

Rose Tara Holdings, LLC

Adult Care Home Facility · King, NC

NPI number 1902822182 Active

Practice location

125 Plantation Dr
King, NC 27021-9590

Call (336) 983-8929 Map

Fax (336) 983-7424

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	HAL-085-008 (NC)
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.

Other adult care home facility providers in King

See all in King →

NPI record

NPI: 1902822182
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Oct 11, 2021
Status: Active

Other names

<unavail>
Rose Tara Plantation, Inc · doing business as
Rose Tara Senior Living · doing business as

Authorized official

Mr. Charles E Trefzger
Manager
(828) 322-5535

Verify this record

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.

Is this your record? How to update it.

About NPI 1902822182

Rose Tara Holdings, LLC's National Provider Identifier is 1902822182, issued on Jul 14, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in King, NC. The record was last updated on Oct 11, 2021.