ROSE TARA PLANTATION, INC
NPI 1902822182
Custodial Care Facility - Adult Care Home in King, NC
NPI Status: Active since July 14, 2006
Contact Information
125 PLANTATION DR
KING, NC
ZIP 27021
Phone: (336) 983-8929
Fax: (336) 983-7424
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 34D2019494
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-30-2027
About ROSE TARA PLANTATION, INC
This page provides the complete NPI Profile along with additional information for Rose Tara Plantation, Inc, a provider established in King, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1902822182 assigned on July 2006. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Rose Tara Plantation, Inc. The authorized official of this NPI record is Mr. Charles E Trefzger Jr. (Manager)
- NPI
- 1902822182
- Provider Legal Name
- ROSE TARA HOLDINGS, LLC
- Other Organization Name
- ROSE TARA PLANTATION, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 125 PLANTATION DR KING, NC 27021
- Location Phone
- (336) 983-8929
- Location Fax
- (336) 983-7424
- Mailing Address
- PO BOX 2568 HICKORY, NC 28603
- Mailing Phone
- (828) 322-5535
- Mailing Fax
- (336) 983-7424
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2006
- Last Update Date
- 10-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | HAL-085-008 (NC) |
| 2 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805465 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2019494
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 31, 2025
- Certificate Expiration Date
- January 30, 2027
- Laboratory Director
- BRENDA Y. PEDDYCORD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rose Tara Plantation, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 8 | 2 | 2 | 1 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 16 | 2 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 1 + 6 + 2 + 4 + 1 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1902822182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902822182, enumerated as an "organization" on July 14, 2006.
The provider is located at 125 PLANTATION DR KING, NC 27021 and the phone number is (336) 983-8929.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
