Tarboro Care LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

TARBORO CARE LLC

Doing business as

Prodigy Transitional Rehab

Practice address

911 Western Blvd
Tarboro, NC 27886-4016

Phone

(252) 823-2041

NPI assigned

Jul 14, 2021

Last updated

Jul 14, 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 Everett Sharpe

Title

Regional Director

Phone

(252) 432-2303

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Prodigy Transitional Rehab Doing business as

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1982276416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864016",
            "telephone_number": "252-823-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864016",
            "telephone_number": "252-823-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "252-432-2303"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigy Transitional Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tarboro Care LLC (Prodigy Transitional Rehab)
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• Tarboro Chiropractic Inc.
• Tarboro Clinic
• Tarboro Clinic Optical

• Rehabilitation Clinic/Center in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Rehabilitation Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.