Tar River LTC Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0537 Issued in NC

Legal business name

TAR RIVER LTC GROUP, LLC

Doing business as

Northampton Nursing and Rehabilitation Center

Practice address

200 Hampton Woods Complex
Jackson, NC 27845-9503

Phone

(252) 534-0131

Fax

(252) 534-9926

NPI assigned

Jun 15, 2006

Last updated

Jul 14, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Karen G McDaniel

Title

President

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northampton Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013951896. Details of each certification follow.

• CCN 345313 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345313

Legal name

TAR RIVER LTC GROUP, LLC

Doing business as

NORTHHAMPTON NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 27, 1990

Last certification

Jan 24, 2025

Beds

80

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Principle LTC

Organization structure

LLCProprietary

Incorporated

Aug 20, 2010 in NC

Enrollment address

200 Hampton Woods Complex
Jackson, NC 27845-9503

Nursing home name

NORTHAMPTON NURSING AND REHABILITATION CENTER

Affiliated entity

PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tar River LTC Group, LLC

  dba Chowan River Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Edenton, NC
  • NPI 1083659692

  9739360785

  Same PAC ID
• Tar River LTC Group, LLC

  dba River Trace Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Washington, NC
  • NPI 1750317897

  9739360785

  Same PAC ID

Listed as

Northampton Nursing and Rehabilitation CenterCCN 345313 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 27, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8074.1 residents per day on average

Chain

Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Tar River LTC Group, LLC

  dba Chowan River Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Edenton, NC
  • NPI 1083659692
  NPD tax ID
• Tar River LTC Group, LLC

  dba Roanoke Landing Nursing and Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Plymouth, NC
  • NPI 1184809279
  NPD tax ID
• Tar River LTC Group, LLC

  dba River Trace Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Washington, NC
  • NPI 1750317897
  NPD tax ID
• Tar River LTC Group, LLC

  dba Open Fields Assisted Living

  • Adult Care Home Facility
  • Tarboro, NC
  • NPI 1770529141
  NPD tax ID

Networks

• SC HMO

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Francis Marvin Taylor, M.D.

  • Family Medicine Physician
  • Conway, NC
  • NPI 1336222157

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Birch LTC Group, LLC

  dba Barbour Court Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Smithfield, NC
  • NPI 1225064777

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Birch LTC Group, LLC

  dba Willow Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Goldsboro, NC
  • NPI 1508802497

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Continuum II Home Care & Hospice, Inc.

  dba Continuum II Home Care & Hospice of Pender County

  • Community Based Hospice Care Agency
  • Hampstead, NC
  • NPI 1457648909

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Continuum II Home Care & Hospice, Inc.

  dba Continuum Home Care & Hospice of Lenoir

  • Community Based Hospice Care Agency
  • Kinston, NC
  • NPI 1619074937

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Westwood Hills Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Wilkesboro, NC
  • NPI 1184650541

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Franklin Oaks Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Louisburg, NC
  • NPI 1376570275

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Kerr Lake Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Henderson, NC
  • NPI 1972547321

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba Springbrook Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Clayton, NC
  • NPI 1003205337

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba Tower Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1356387153

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba LAKE PARK Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Indian Trail, NC
  • NPI 1548206907

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Granite Falls LTC, LLC

  dba Jacob's Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Madison, NC
  • NPI 1255367447

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Granite Falls LTC, LLC

  dba Graham Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Robbinsville, NC
  • NPI 1366487464

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raven Lionel Deloatch, MD

  • Internal Medicine Physician
  • Jackson, NC
  • NPI 1740268598
  NPD (past)
• Francis Marvin Taylor, M.D.

  • Family Medicine Physician
  • Conway, NC
  • NPI 1336222157
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Raven Lionel Deloatch, MD

  • Internal Medicine Physician
  • Jackson, NC
  • NPI 1740268598

  Nursing home

  Care Compare affiliation
• Francis Marvin Taylor, M.D.

  • Family Medicine Physician
  • Conway, NC
  • NPI 1336222157

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1013951896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAMPTON WOODS COMPLEX",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459503",
            "telephone_number": "252-534-0131",
            "fax_number": "252-534-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMPTON WOODS COMPLEX",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459503",
            "telephone_number": "252-534-0131",
            "fax_number": "252-534-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR RIVER LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415313",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0092C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425313",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northampton Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northampton Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rural Health Group, Inc. (Rural Health Group at Jackson/Dental)
• Rural Health Group, Inc. (Rural Health Group at Jackson)
• Sega Sikod, PA-C
• Lauren Simmons
• Cheryl Cherry Stevenson
• The Renaissance House
• Kimberly Thomas
• Uplift Comprehensive Services

• Skilled Nursing Facility in Jackson, NC
• Providers in Jackson, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.