Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareROSE TARA HOLDINGS, LLC
Assisted Living Facility
King, North Carolina
Provider NPI: 1902822182
Organization Information:Organization Name: ROSE TARA HOLDINGS, LLC
Practice Location:
125 PLANTATION DR KING, NC 27021 US
Tel: 336-983-8929 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
125 PLANTATION DR KING, NC 27021 US
Tel: 336-983-8929 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | ||
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | HAL-085-008 |
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 7805465 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin