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D-POM LLC
NPI 1336291699
Assisted Living Facility in Tarboro, NC

Active since January 17, 2007CLIA 34D2227965 · Accreditation
2109 SAINT ANDREW ST STE 15A&16, TARBORO, NC 27886(252) 641-5452(252) 641-0372 Get Directions Write a Review

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

About D-pom Llc NPPES

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

D-POM LLC (NPI 1336291699) is a healthcare organization registered as an assisted living facility in Tarboro, North Carolina and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through May 17, 2028 and lists Priscilla Everette Oates, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1336291699
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameD-POM LLC
Location Address2109 SAINT ANDREW ST STE 15A&16Tarboro, NC 27886-2149
Mailing AddressPo Box 1634Tarboro, NC 27886-1634 · (252) 823-4367 · Fax (252) 823-6085
Phone(252) 641-5452
Fax(252) 641-0372
Organization SubpartNo
Authorized OfficialPriscilla Everette OatesOwner/administrator · (252) 641-5452
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1336291699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2109 SAINT ANDREW ST STE 15A&16, Tarboro, NC 27886
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Other Identifiers 1

Medicaid3408421NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2227965

D-Pom, LLC · Tarboro, NC
Active · expires May 17, 2028
CLIA Number34D2227965
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorKelly M. Waltonbean
Laboratory Phone(919) 766-8791
Laboratory LocationD-Pom, LLC2109 Saint Andrews St, Tarboro, NC 27886
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

D-POM L.L.C
Community/Behavioral Health
2109 SAINT ANDREW ST STE 15A&16
TARBORO, NC 27886
Edgecombe County (252) 641-5452

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 D-Pom LLC's NPI number?

The NPI number for D-Pom LLC is 1336291699. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is D-Pom LLC located?

D-Pom LLC is located at 2109 Saint Andrew St Ste 15a&16, Tarboro, NC 27886. The listed phone number is (252) 641-5452.

What is D-Pom LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does D-Pom LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2227965) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for D-Pom LLC was last updated on December 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.