Tar River Ltc Group, LLC
Tar River Ltc Group, LLC is a healthcare organization registered as Skilled Nursing Facility in Edenton, NC, holding Type 2 (organization) NPI 1083659692 since 2006. The authorized official on file is Karen Mcdaniel, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083659692 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tar River Ltc Group, LLC |
| Other name | <Unavail> |
| Practice address | 1341 PARADISE RD, Edenton, NC, 27932 |
| Phone | 2524827481 |
| Fax | 2524827674 |
| Enumeration date | 2006-06-18 |
| Last updated in NPPES | 2021-07-14 |
Authorized official
| Name | Karen Mcdaniel |
|---|---|
| Title | President |
| Phone | 2525239094 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0400X | Rehabilitation Clinic/Center | Secondary | NH0369 | NC |
| 314000000X | Skilled Nursing Facility | Primary | NH0369 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802461 | Medicaid | NC | — |
| 00809 | Other | NC | BC/BS OF NC |
| 3425164 | Medicaid | NC | — |
Copy-ready billing details
Provider: Tar River Ltc Group, LLC NPI: 1083659692 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1341 PARADISE RD, Edenton, NC, 27932
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104023571 | Continuum II Home Health & Hospice, Inc. | Organization | Home Health Agency | Edenton, NC |
| 1013105717 | Britthaven of Edenton, Inc. | Organization | Nursing Facility/Intermediate Care Facility | Edenton, NC |
| 1760657787 | Lauren Goodwin | Individual | Contractor | Edenton, NC |
| 1356509079 | Kristina Worrell | Individual | Occupational Therapist | Edenton, NC |
| 1013175736 | Jessica Spruill | Individual | Physical Therapy Assistant | Edenton, NC |
| 1356509020 | Teresa Wooten | Individual | Occupational Therapist | Edenton, NC |
| 1053579722 | Donnie Wooten | Individual | Occupational Therapy Assistant | Edenton, NC |
| 1962660415 | Susan Jones | Individual | Physical Therapy Assistant | Edenton, NC |
Verify this record
Cross-check NPI 1083659692 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.