Tar River Ltc Group, LLC
Tar River Ltc Group, LLC is a healthcare organization registered as Skilled Nursing Facility in Jackson, NC, holding Type 2 (organization) NPI 1013951896 since 2006. The authorized official on file is Karen Mcdaniel, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013951896 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tar River Ltc Group, LLC |
| Other name | <Unavail> |
| Practice address | 200 HAMPTON WOODS COMPLEX, Jackson, NC, 27845 |
| Phone | 2525340131 |
| Fax | 2525349926 |
| Enumeration date | 2006-06-15 |
| Last updated in NPPES | 2021-07-14 |
Authorized official
| Name | Karen Mcdaniel |
|---|---|
| Title | President |
| Phone | 2525239094 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | NH0537 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3425313 | Medicaid | NC | — |
| 0092C | Other | NC | BC/BS OF NC |
| 3415313 | Medicaid | NC | — |
Copy-ready billing details
Provider: Tar River Ltc Group, LLC NPI: 1013951896 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 200 HAMPTON WOODS COMPLEX, Jackson, NC, 27845
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407043839 | Britthaven, Inc. | Organization | Nursing Facility/Intermediate Care Facility | Jackson, NC |
| 1003082249 | Heather Banks | Individual | Occupational Therapy Assistant | Jackson, NC |
| 1245407857 | Kindred Healthcare | Organization | Skilled Nursing Facility | Jackson, NC |
| 1073770475 | Kindred Healthcare | Organization | Skilled Nursing Facility | Jackson, NC |
| 1205096781 | Kindred Healthcare | Organization | Skilled Nursing Facility | Jackson, NC |
| 1992952980 | Patricia Demilio | Individual | Physical Therapist | Jackson, NC |
| 1164679924 | Franklin Measamer | Individual | Occupational Therapist | Jackson, NC |
Verify this record
Cross-check NPI 1013951896 against the authoritative CMS record: view Tar River Ltc Group, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Tar River Ltc Group, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-14.