EDENTON RETIREMENT COMMUNITY, LLC
NPI 1790001246
Assisted Living Facility in Edenton, NC

Q: What is Edenton Retirement Community, LLC's NPI number?

The NPI number for Edenton Retirement Community, LLC is 1790001246. It was assigned to this organization in the NPPES registry on April 8, 2010.

Q: What is Edenton Retirement Community, LLC's specialty?

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

Active since April 08, 2010

106 MARK DR, EDENTON, NC 27932(252) 482-4491 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edenton Retirement Community, Llc NPPES

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

EDENTON RETIREMENT COMMUNITY, LLC (NPI 1790001246) is a healthcare organization registered as an assisted living facility in Edenton, North Carolina and active in the NPI registry since April 2010. The organization lists David Dean Wilson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1790001246

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEDENTON RETIREMENT COMMUNITY, LLC

Location Address106 MARK DREdenton, NC 27932-1756

Mailing AddressPo Box 814Randleman, NC 27317-0814 · (336) 495-2700 · Fax (336) 495-5552

Phone(252) 482-4491

Organization SubpartNo

Authorized OfficialDavid Dean WilsonManaging Partner · (336) 495-2700

Enumeration DateApril 8, 2010

Last NPPES UpdateJune 13, 2013

✔ NPI 1790001246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License HAL-021-008 (NC)

106 MARK DR, Edenton, NC 27932

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Other Identifiers 1

Medicaid7806302NC

Other Providers at the Same Location NPPES

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

EDENTON PRIME TIME RETIREMENT VILLAGE, LLC

Assisted Living Facility

106 MARK DR
EDENTON, NC 27932

Chowan County (252) 482-4491

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 Edenton Retirement Community, LLC's NPI number?

The NPI number for Edenton Retirement Community, LLC is 1790001246. It was assigned to this organization in the NPPES registry on April 8, 2010.

Where is Edenton Retirement Community, LLC located?

Edenton Retirement Community, LLC is located at 106 Mark Dr, Edenton, NC 27932. The listed phone number is (252) 482-4491.

What is Edenton Retirement Community, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Edenton Retirement Community, LLC was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.