# TARBORO CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prodigy Transitional Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720166838
- **Authorized official:** ROBERT VERNON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (252) 823-2041

## Contact information

- **Practice address:** 911 WESTERN BLVD, TARBORO, NC 27886
- **Practice address phone:** (252) 823-2041
- **Practice address fax:** (252) 641-1741
- **Mailing address:** PO BOX 400, 911 WESTERN BLVD, TARBORO, NC 27886
- **Mailing address phone:** (252) 823-2041
- **Mailing address fax:** (252) 641-1741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | — |
| 314000000X | Skilled Nursing Facility | NH0327 | NC | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405510 | — | NC |
| 01 | — | 340613N | ICF | NC |