1. Home
  2. Directory
  3. North Carolina
  4. Roxboro
  5. Custodial Care Facility
  6. NPI Profile

ROXBORO NURSING CENTER, INC.
NPI 1386830248
Custodial Care Facility - Adult Care Home in Roxboro, NC

Active since September 24, 2007CLIA 34D0679133 · Waiver
901 RIDGE RD, ROXBORO, NC 27573(336) 599-0106(336) 597-5788 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roxboro Nursing Center, Inc. NPPES

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

ROXBORO NURSING CENTER, INC. (NPI 1386830248) is a healthcare organization registered as an adult care home in Roxboro, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Nick W Elledge, Vice President, as its authorized official.

NPPES Registry Identity

NPI1386830248
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameROXBORO NURSING CENTER, INC.
Location Address901 RIDGE RDRoxboro, NC 27573-4511
Mailing Address901 Ridge RdRoxboro, NC 27573-4511 · (336) 599-0106 · Fax (336) 597-5788
Phone(336) 599-0106
Fax(336) 597-5788
Organization SubpartNo
Authorized OfficialNick W ElledgeVice President · (336) 679-8852
Enumeration DateSeptember 24, 2007
✔ NPI 1386830248 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 · NH0265
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.
901 RIDGE RD, Roxboro, NC 27573
Open in Google Maps ↗

Other Identifiers 1

Medicaid7801192NC

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 Waiver 34D0679133

Roxboro Nursing Center - Liberty Healthcare Management · Roxboro, NC
Active · expires Jun 10, 2027
CLIA Number34D0679133
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorJacqueline Royal
Laboratory Phone(336) 599-0106
Laboratory LocationRoxboro Nursing Center - Liberty Healthcare Management901 Ridge Road, Roxboro, NC 27573
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LEANNE THORNBURG
Physical Therapy Assistant
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-0106
LIBERTY HEALTHCARE GROUP, LLC
Skilled Nursing Facility
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-0106
RICHARD HULTZ PT
Physical Therapist
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-0106
TIMOTHY LEE SMITH PTA
Physical Therapy Assistant
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 588-1016
DONNA PLEASANTS PTA
Physical Therapist (Geriatrics)
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-4030
MR. MICHAEL RENO NORRIS PTA
Physical Therapy Assistant
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-4030
MEGAN ELIZABETH LANGLEY PTA
Physical Therapy Assistant
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-0106
LILLIAN HOLLARS PTA
Physical Therapy Assistant
901 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-4030

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 Roxboro Nursing Center, Inc.'s NPI number?

The NPI number for Roxboro Nursing Center, Inc. is 1386830248. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Roxboro Nursing Center, Inc. located?

Roxboro Nursing Center, Inc. is located at 901 Ridge Rd, Roxboro, NC 27573. The listed phone number is (336) 599-0106.

What is Roxboro Nursing Center, Inc.'s specialty?

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

Does Roxboro Nursing Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0679133) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roxboro Nursing Center, Inc. was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.