Tarboro Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0327 Issued in NC

Legal business name

TARBORO CARE LLC

Practice address

911 Western Blvd
Tarboro, NC 27886

Phone

(252) 823-2041

Fax

(252) 641-1741

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Robert Vernon

Title

Executive Director

Phone

(252) 823-2041

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prodigy Transitional Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anoop Dipak Sheth, M.D.

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1407299340
  NPD (past)
• Jennifer Wynn Sylvester

  • Physical Therapy Assistant
  • Tarboro, NC
  • NPI 1225544505
  NPD (past)
• Kurt E Frauenpreis, MD

  • Family Medicine Physician
  • Dayton, WA
  • NPI 1093732182
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1720166838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "address_2": "911 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-823-2041",
            "fax_number": "252-641-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-823-2041",
            "fax_number": "252-641-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-823-2041"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF",
            "identifier": "340613N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigy Transitional Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prodigy Transitional Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Wynn Sylvester
• T & C Community Transport LLC
• T.N.R.Treatment Services, Inc.
• Alycia Taft-Howard
• Tar River LTC Group, LLC
• Tarboro Care LLC
• Tarboro Chemists, Inc.
• Tarboro Chemists, Inc.
• Tarboro Chiropractic Inc.
• Tarboro Clinic

• Skilled Nursing Facility in Tarboro, NC
• Providers in Tarboro, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.