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TILLERY'S PLACE, LLC
NPI 1386010908
Custodial Care Facility - Adult Care Home in Rocky Mount, NC

Active since August 18, 2015
200 S TILLERY ST, ROCKY MOUNT, NC 27804(252) 446-6613 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tillery's Place, Llc NPPES

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

TILLERY'S PLACE, LLC (NPI 1386010908) is a healthcare organization registered as an adult care home in Rocky Mount, North Carolina and active in the NPI registry since August 2015. The organization lists Shavonnie Deans, Owner, as its authorized official.

NPPES Registry Identity

NPI1386010908
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameTILLERY'S PLACE, LLC
Location Address200 S TILLERY STRocky Mount, NC 27804-5527
Mailing Address200 S Tillery StRocky Mount, NC 27804-5527
Phone(252) 446-6613
Organization SubpartNo
Authorized OfficialShavonnie DeansOwner · (252) 446-6613
Enumeration DateAugust 18, 2015
✔ NPI 1386010908 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-064-030
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.
200 S TILLERY ST, Rocky Mount, NC 27804
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Other Providers at the Same Location NPPES

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

SPECIAL JEWEL GROUP HOME
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
200 S TILLERY ST
ROCKY MOUNT, NC 27804
Nash County (252) 446-6612

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 Tillery's Place, LLC's NPI number?

The NPI number for Tillery's Place, LLC is 1386010908. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Tillery's Place, LLC located?

Tillery's Place, LLC is located at 200 S Tillery St, Rocky Mount, NC 27804. The listed phone number is (252) 446-6613.

What is Tillery's Place, LLC'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 Tillery's Place, LLC was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.