RICH SQUARE MANOR
NPI 1912144601
Custodial Care Facility - Adult Care Home in Rich Square, NC

Active since January 16, 2009
400 NORTH MAIN STREET, RICH SQUARE, NC 27869(252) 539-4145(252) 539-2479 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rich Square Manor NPPES

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

RICH SQUARE MANOR (NPI 1912144601) is a healthcare organization registered as an adult care home in Rich Square, North Carolina and active in the NPI registry since January 2009. The organization lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1912144601
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRV ASSISTED LIVING, LLC
Location Address400 NORTH MAIN STREETRich Square, NC 27869-9568
Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535 · Fax (828) 326-8115
Fax(252) 539-2479
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateJanuary 16, 2009
Last NPPES UpdateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
NPI 1912144601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License HAL-066-011 (NC)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
400 NORTH MAIN STREET, Rich Square, NC 27869

Other Names 1

Doing Business AsRich Square Manor

Other Identifiers 1

Medicaid7805825NC

Other Providers at the Same Location NPPES

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

Assisted Living Facility
400 NORTH MAIN STREET
RICH SQUARE, NC 27869

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 Rv Assisted Living, LLC's NPI number?

The NPI number for Rv Assisted Living, LLC is 1912144601. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Rich Square Manor.

Where is Rv Assisted Living, LLC located?

Rv Assisted Living, LLC is located at 400 North Main Street, Rich Square, NC 27869. The listed phone number is (252) 539-4145.

What is Rv Assisted Living, 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 Rv Assisted Living, LLC was last updated on October 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.