RV ASSISTED LIVING LLC NPI 1316184922

NPI Information

  • NPI: 1316184922
  • Provider Name: RV ASSISTED LIVING, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: RICH SQUARE VILLA
  • CLIA Number: 34D2019473
  • Address: 310 NORTH MAIN STREET
    RICH SQUARE, NC
    ZIP 27869
  • Phone: (252) 539-2011

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NPI Details

RV ASSISTED LIVING, LLC is an adult care home custodial care facility in Rich Square, NC. The provider is 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. RV ASSISTED LIVING, LLC NPI is 1316184922. The provider is registered as an organization entity type.
The provider Is Doing Business As Rich Square Villa.

The provider's business location address is:

310 NORTH MAIN STREET
RICH SQUARE, NC
ZIP 27869-568
Phone: (252) 539-2011
Fax: (252) 539-2317

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The CLIA number assigned to this NPI record is 34D2019473 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL-066-010NORTH CAROLINANo
2343900000XNon-emergency Medical Transport (VAN)No
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17805824MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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