Organization Active NPI

The Carrolton of Plymouth, LLC

  • Skilled Nursing Facility
  • Plymouth, NC
National Provider Identifier
1861003485
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE CARROLTON OF PLYMOUTH, LLC
Practice address
1084 US Highway 64 E
Plymouth, NC 27962-9215
Phone
(252) 793-2100
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Sonya Rozier
Title
Managing Director
Phone
(910) 474-4381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1084 US Highway 64 E
Plymouth, NC 27962-9215

Mailing address

PO Box 8427
Rocky Mount, NC 27804-1427

Other names 1

  • The Carrolton of Plymouth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211001802 NC Part A Provider - Skilled Nursing Facility 8729490941 Practice locations: Plymouth, NC

Skilled nursing facility certification: CCN 345266

Legal name
THE CARROLTON OF PLYMOUTH, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 11, 1987
Last certification
Mar 27, 2025
Beds
123 (114 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Carrolton Facilities Management
Most recent change of ownership
Jan 1, 2011
Organization structure
CorporationProprietary
Incorporated
Mar 13, 2020 in NC
Enrollment address
1084 US Highway 64 E
Plymouth, NC 27962-9215
Nursing home name
THE CARROLTON OF PLYMOUTH
Affiliated entity
CARROLTON NURSING HOMES

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Carrolton of PlymouthCCN 345266
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 11, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11484.7 residents per day on average
Chain
Carrolton Nursing Homes6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0242629Carrolton of Plymouth, LLC Dba, the1084 US Highway 64 E, Plymouth, NC 27962Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Judith Powell Roberson-Dixon Individual 5% Or Greater Direct Ownership Interest Mar 13, 2020 37.5%
Sonya Rozier Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
C. Saunders Roberson, Jr., Trustee of the Carol Saunders Roberson Fami Organization, Rocky Mount, NC 5% Or Greater Direct Ownership Interest Mar 13, 2020 12.5%
Deborah Powell Figlewski Individual 5% Or Greater Direct Ownership Interest Mar 13, 2020 12.5%
Carrol Saunders Roberson Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
Carrolton Facility Management, LLC Organization, Rocky Mount, NC LLC, Management services company Operational/Managerial Control Oct 1, 2020 100%
Denise Russell Individual 5% Or Greater Direct Ownership Interest Mar 13, 2020 12.5%
Earl Powell Individual 5% Or Greater Indirect Ownership Interest Mar 13, 2020 12.5%
John Powell Individual 5% Or Greater Direct Ownership Interest Mar 13, 2020 12.5%

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1861003485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629215",
            "telephone_number": "252-793-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARROLTON OF PLYMOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "910-474-4381"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carrolton of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, NC

Sources for this page

Verify at the official NPI Registry.