Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edenton Prime Time Retirement Village, LLC

Organization Assisted Living Facility · NPI 1174608541

Edenton Prime Time Retirement Village, LLC is an Assisted Living Facility in Edenton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Mark Dr
Edenton, NC 27932-1756
Phone: (252) 482-4491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence HAL-021-005 (NC)

Record details

NPI number1174608541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guy Pierce — Managing Member · (336) 595-1075
NPI enumeratedOctober 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1487, Kernersville, NC 27285-1487

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