Active NPI
The Carrolton of Plymouth, LLC
- Skilled Nursing Facility
- Plymouth, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Plymouth
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 11, 1987
- Medicare certification status
- Active
- Certified beds
- 114
- Chain
- Carrolton Nursing Homes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0242629 | Carrolton of Plymouth, LLC Dba, the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Judith Powell Roberson-Dixon | 5% Or Greater Direct Ownership Interest | Mar 13, 2020 | 37.5% |
| Sonya Rozier | Operational/Managerial Control | Oct 1, 2020 | |
| Adp of the SNF | Oct 1, 2020 | ||
| C. Saunders Roberson, Jr., Trustee of the Carol Saunders Roberson Fami | 5% Or Greater Direct Ownership Interest | Mar 13, 2020 | 12.5% |
| Deborah Powell Figlewski | 5% Or Greater Direct Ownership Interest | Mar 13, 2020 | 12.5% |
| Carrol Saunders Roberson | Operational/Managerial Control | Oct 1, 2020 | |
| Adp of the SNF | Oct 1, 2020 | ||
| Carrolton Facility Management, LLC | Operational/Managerial Control | Oct 1, 2020 | 100% |
| Denise Russell | 5% Or Greater Direct Ownership Interest | Mar 13, 2020 | 12.5% |
| Earl Powell | 5% Or Greater Indirect Ownership Interest | Mar 13, 2020 | 12.5% |
| John Powell | 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.
-
- Skilled Nursing Facility
- Dunn, NC
- NPI 1346851052
Carrolton Facility Management, LLC
-
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1225654098
Carrolton Facility Management, LLC
-
- Skilled Nursing Facility
- Lumberton, NC
- NPI 1174149934
Carrolton Facility Management, LLC
-
- Skilled Nursing Facility
- Rocky Mount, NC
- NPI 1922611102
C. Saunders Roberson, Jr., Trustee of the Carol Saunders Roberson Fami, Carrolton Facility Management, LLC
-
- Skilled Nursing Facility
- Williamston, NC
- NPI 1669083291
C. Saunders Roberson, Jr., Trustee of the Carol Saunders Roberson Fami, Carrolton Facility Management, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Edenton, NC
- NPI 1215928403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.