Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Edenton Prime Time Retirement Village, LLC

Assisted Living Facility in Edenton, NC · enumerated 2006 · authorized official Guy Pierce, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174608541

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Registry record

Entity type Organization (Type 2)

Legal business name Edenton Prime Time Retirement Village, LLC

Practice address 106 Mark Dr, Edenton, NC, 27932

Phone (252) 482-4491

Enumeration date Oct 26, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License HAL-021-005 (NC) Primary

Authorized official

Name Guy Pierce

Title Managing Member

Phone (336) 595-1075

Other identifiers

Identifier	Type	State	Issuer
7804339	Medicaid	NC	-

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 → Validate an NPI →

Frequently asked questions

What type of organization is Edenton Prime Time Retirement Village, LLC?

Edenton Prime Time Retirement Village, LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Edenton Retirement Community, LLC Assisted Living Facility · Edenton, NC NPI 1790001246

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.