Tanjer House

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TANJER HOUSE

Practice address

161 E French Broad St
Brevard, NC 28712-3410

Phone

(828) 884-2550

Fax

(828) 884-2550

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Elza Vickers, QP

Title

Executive Director

Phone

(828) 242-7835

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Tanjer House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tanjer House, Inc

  • Adult Care Home Facility
  • Brevard, NC
  • NPI 1538339130
  NPD tax ID

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235284423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E FRENCH BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123410",
            "telephone_number": "828-884-2550",
            "fax_number": "828-884-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E FRENCH BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123410",
            "telephone_number": "828-884-2550",
            "fax_number": "828-884-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANJER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "ELZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-242-7835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-088-015",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418246",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Anne Stork, OT
• Sycamore Pediatric Therapy PLLC
• Sylvan Valley OB/GYN, PA
• Gerard Sztyber, MD
• Emerson Talbott, DPT
• Tanjer House
• Tanjer House, Inc
• Marian Taylor, MD
• Phyllis Kay Taylor, CRNA
• Tara Tecce, LCMHC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brevard, NC
• Providers in Brevard, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.