PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC
NPI 1467808329
Custodial Care Facility - Adult Care Home in Pikeville, NC

Q: What is Premier Operating Countryside Village, LLC's specialty?

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

Active since May 10, 2016

5383 US HIGHWAY 117 N, PIKEVILLE, NC 27863(919) 242-6369(919) 242-9884 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premier Operating Countryside Village, Llc NPPES

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

PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC (NPI 1467808329) is a healthcare organization registered as an adult care home in Pikeville, North Carolina and active in the NPI registry since May 2016. The organization lists Robert Borsody, Principal, as its authorized official.

NPPES Registry Identity

NPI1467808329

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NamePREMIER OPERATING COUNTRYSIDE VILLAGE, LLC

Location Address5383 US HIGHWAY 117 NPikeville, NC 27863-9443

Mailing Address5383 Us Highway 117 NPikeville, NC 27863-9443 · (919) 242-6369 · Fax (919) 242-9884

Phone(919) 242-6369

Fax(919) 242-9884

Organization SubpartYesParent: Premier Senior Living, Llc

Authorized OfficialRobert BorsodyPrincipal · (212) 739-0794

Enumeration DateMay 10, 2016

✔ NPI 1467808329 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

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.

5383 US HIGHWAY 117 N, Pikeville, NC 27863

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Other Providers at the Same Location NPPES 3

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

COUNTRYSIDE VILLAGE LLC

Assisted Living Facility

5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863

Wayne County (919) 242-6369

RIDGELINE PIKEVILLE LLC

Assisted Living Facility

5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863

Wayne County (919) 242-6369

JAYBIRD LSE PV05 LLC

Assisted Living Facility

5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863

Wayne County (919) 242-6369

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 Premier Operating Countryside Village, LLC's NPI number?

The NPI number for Premier Operating Countryside Village, LLC is 1467808329. It was assigned to this organization in the NPPES registry on May 10, 2016.

Where is Premier Operating Countryside Village, LLC located?

Premier Operating Countryside Village, LLC is located at 5383 Us Highway 117 N, Pikeville, NC 27863. The listed phone number is (919) 242-6369.

What is Premier Operating Countryside Village, 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 Premier Operating Countryside Village, LLC was last updated on May 10, 2016. 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.