Edenton Prime Time Retirement Village, LLC
NPI 1174608541 · Assisted Living Facility · Edenton, NC
Edenton Prime Time Retirement Village, LLC is a Assisted Living Facility organization in Edenton, NC (NPI 1174608541).
Provider details
- NPI number
- 1174608541
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Guy Pierce, Managing Member(336) 595-1075
- License
- HAL-021-005 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Edenton Prime Time Retirement Village, LLC's NPI number?
- Edenton Prime Time Retirement Village, LLC's National Provider Identifier (NPI) is 1174608541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edenton Prime Time Retirement Village, LLC?
- Edenton Prime Time Retirement Village, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edenton Prime Time Retirement Village, LLC located?
- Edenton Prime Time Retirement Village, LLC's practice location on file with NPPES is 106 Mark Dr, Edenton, NC 27932-1756.
- What is Edenton Prime Time Retirement Village, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edenton Prime Time Retirement Village, LLC is (252) 482-4491.
- Who is the authorized official for Edenton Prime Time Retirement Village, LLC?
- The authorized official listed on Edenton Prime Time Retirement Village, LLC's NPPES record is Guy Pierce, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edenton Prime Time Retirement Village, LLC's NPI active?
- Yes — Edenton Prime Time Retirement Village, LLC's NPI (1174608541) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.