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LEISURE HOME LIFE, INC.
NPI 1063619724
Custodial Care Facility - Adult Care Home in Tarboro, NC

Active since June 27, 2007
800 E SAINT JOHN ST, TARBORO, NC 27886(252) 641-4107(252) 973-8599 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leisure Home Life, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEISURE HOME LIFE, INC. (NPI 1063619724) is a healthcare organization registered as an adult care home in Tarboro, North Carolina and active in the NPI registry since June 2007. The organization lists Tempsie D. Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1063619724
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEISURE HOME LIFE, INC.
Location Address800 E SAINT JOHN STTarboro, NC 27886-4544
Mailing AddressPo Box 2087Rocky Mount, NC 27802-2087 · (252) 641-4107 · Fax (252) 973-8599
Phone(252) 641-4107
Fax(252) 973-8599
Organization SubpartNo
Authorized OfficialTempsie D. RichardsonPresident · (252) 641-4107
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063619724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · FCL-033-003
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
800 E SAINT JOHN ST, Tarboro, NC 27886
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Other Identifiers 1

Medicaid780233NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEISURE HOME LIFE, INC.
Clinic/Center
800 E SAINT JOHN ST
TARBORO, NC 27886
Edgecombe County (252) 641-4107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leisure Home Life, Inc.'s NPI number?

The NPI number for Leisure Home Life, Inc. is 1063619724. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Leisure Home Life, Inc. located?

Leisure Home Life, Inc. is located at 800 E Saint John St, Tarboro, NC 27886. The listed phone number is (252) 641-4107.

What is Leisure Home Life, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Leisure Home Life, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.