Tillery'S Place, LLC
NPI 1386010908 · Adult Care Home Facility · Rocky Mount, NC
Tillery'S Place, LLC is a Adult Care Home Facility organization in Rocky Mount, NC (NPI 1386010908).
Provider details
- NPI number
- 1386010908
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shavonnie Deans, Owner(252) 446-6613
- License
- FCL-064-030 (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
10 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
- 2015-08-18
- Last updated
- 2015-08-18
Frequently asked questions
- What is Tillery'S Place, LLC's NPI number?
- Tillery'S Place, LLC's National Provider Identifier (NPI) is 1386010908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tillery'S Place, LLC?
- Tillery'S Place, LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Tillery'S Place, LLC located?
- Tillery'S Place, LLC's practice location on file with NPPES is 200 S Tillery St, Rocky Mount, NC 27804-5527.
- What is Tillery'S Place, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tillery'S Place, LLC is (252) 446-6613.
- Who is the authorized official for Tillery'S Place, LLC?
- The authorized official listed on Tillery'S Place, LLC's NPPES record is Shavonnie Deans, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tillery'S Place, LLC's NPI active?
- Yes — Tillery'S Place, LLC's NPI (1386010908) is active in the NPPES registry as of the last update on 2015-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.