PRODIGY TRANSITIONAL REHAB
NPI 1720166838
Skilled Nursing Facility in Tarboro, NC

Active since November 02, 2006CLIA 34D0951140 · Waiver
2/5
Overall Rating
911 WESTERN BLVD, TARBORO, NC 27886(252) 823-2041(252) 641-1741 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Apr 20, 2021, Mar 31, 2017 (3 updates tracked since 2017).

About Prodigy Transitional Rehab NPPES

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

PRODIGY TRANSITIONAL REHAB (NPI 1720166838) is a healthcare organization registered as a skilled nursing facility in Tarboro, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Robert Vernon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720166838
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTARBORO CARE LLC
Location Address911 WESTERN BLVDTarboro, NC 27886
Mailing AddressPo Box 400, 911 Western BlvdTarboro, NC 27886 · (252) 823-2041 · Fax (252) 641-1741
Fax(252) 641-1741
Organization SubpartNo
Authorized OfficialRobert VernonExecutive Director · (252) 823-2041
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
NPI 1720166838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0327
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedRehabilitation UnitTaxonomy 273Y00000X
911 WESTERN BLVD, Tarboro, NC 27886

Other Names 1

Doing Business AsProdigy Transitional Rehab

Other Identifiers 2

Medicaid3405510NC
Other340613NNC · Icf

Accepted Insurance

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 34D0951140

Prodigy Transitional Rehab · Tarboro, NC
Active · expires Sep 13, 2026
CLIA Number34D0951140
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorJennie Baker
Laboratory Phone(252) 823-2041
Laboratory LocationProdigy Transitional Rehab911 Western Boulevard, Tarboro, NC 27886
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Prodigy Transitional Rehab (CMS certification number 345510), from CMS Care Compare.

Prodigy Transitional Rehab

Nursing home · Tarboro, NC
2/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number345510
Certified Beds118 beds91 residents per day on average
Medicare & Medicaid Participant SinceJanuary 4, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
62.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.73 · LPN 0.92 · RN 0.48
4.12 hrs per resident per day
Weekend Nurse Staffing
3.59 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
59.2%
Registered Nurse Turnover
69.2%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
13
Infection-Control Citations
0
Fines
2 totaling $21,363.29
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
911 WESTERN BLVD
TARBORO, NC 27886
Speech-Language Pathologist
911 WESTERN BLVD
TARBORO, NC 27886
Occupational Therapy Assistant
911 WESTERN BLVD
TARBORO, NC 27886
Clinic/Center (Rehabilitation)
911 WESTERN BLVD
TARBORO, NC 27886

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 Tarboro Care LLC's NPI number?

The NPI number for Tarboro Care LLC is 1720166838. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Prodigy Transitional Rehab.

Where is Tarboro Care LLC located?

Tarboro Care LLC is located at 911 Western Blvd, Tarboro, NC 27886. The listed phone number is (252) 823-2041.

What is Tarboro Care LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Tarboro Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0951140) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tarboro Care LLC a Medicare-certified nursing home?

Yes. Prodigy Transitional Rehab is a Medicare-certified nursing home with 118 certified beds.

What quality rating does Tarboro Care LLC have?

CMS rates Prodigy Transitional Rehab 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Tarboro Care LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Tarboro Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tarboro Care LLC was last updated on July 14, 2021. 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.