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Tar River Ltc Group, LLC

Tar River Ltc Group, LLC is a healthcare organization registered as Adult Care Home Facility in Tarboro, NC, holding Type 2 (organization) NPI 1770529141 since 2006. The authorized official on file is Karen Mcdaniel, President.

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NPI 1770529141
Entity type Organization (Type 2)
Legal business name Tar River Ltc Group, LLC
Other name <Unavail>
Practice address 3210 WESTERN BLVD, Tarboro, NC, 27886
Phone 2528238546
Fax 2528233878
Enumeration date 2006-06-22
Last updated in NPPES 2017-04-10

Authorized official

Name Karen Mcdaniel
Title President
Phone 2525239094

Taxonomy & classification

Taxonomy code Specialty Primary License State
311ZA0620X Adult Care Home Facility Primary HAL033001 NC

Other identifiers

Identifier Type State Issuer
7806623 Medicaid NC
Copy-ready billing details
Provider: Tar River Ltc Group, LLC
NPI: 1770529141
Taxonomy: 311ZA0620X (Adult Care Home Facility)
Address: 3210 WESTERN BLVD, Tarboro, NC, 27886

Providers at this address

NPI Name Type Specialty Location
1154942134 Tarboro Opco LLC Organization Adult Care Home Facility Tarboro, NC
1316568041 Tarboro Opco LLC Organization Adult Care Home Facility Tarboro, NC
1609659069 Paragon Outpatient Rehabilitation Services, LLC Organization Rehabilitation Clinic/Center Tarboro, NC

Verify this record

Cross-check NPI 1770529141 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

Who is the authorized official for Tar River Ltc Group, LLC?
NPPES lists Karen Mcdaniel (President) as the authorized official for this organization.
What is the NPI number for Tar River Ltc Group, LLC?
The NPI for Tar River Ltc Group, LLC is 1770529141, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-10.