Perquimans Opco Holdings LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PERQUIMANS OPCO HOLDINGS LLC

Doing business as

The Landings of Albemarle

Practice address

603 S Church St
Hertford, NC 27944-1204

Phone

(855) 243-5301

NPI assigned

Feb 14, 2020

Last updated

Nov 9, 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

Charles E Trefzger

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 2

Addresses

Other names 1

• The Landings of Albemarle Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1306479662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-270-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S CHURCH ST",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279441204",
            "telephone_number": "855-243-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERQUIMANS OPCO HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Landings of Albemarle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Landings of Albemarle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Lee Nixon-Evans, M.S., OTR/L
• Taryn Marie Nixon
• Brittany Owens, MS, CCC-SLP
• Shannon T Parker, M.S., CCC-SLP
• Perquimans County Schools
• Phoenix Health & Human Services
• Port Health Services
• Positive Future, LLC
• Tessa Jeanne Rayne, PA-C
• Ninis Regis, MSW, LCSWA

• Adult Care Home Facility in Hertford, NC
• Providers in Hertford, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.