1144 N Road St 338,000 SF Health Care Building Offered For Sale in Elizabeth City, NC 27909

NAI Tri Properties & NAI Dominion are pleased to present a rare opportunity to purchase and redevelop a ±68-acre riverfront property featuring a 338,000-square-foot hospital on approximately 35 developable acres, near Downtown Elizabeth City.
Located at 1144 North Road Street, this exceptional Senior Living Development Opportunity sits along one of Elizabeth City’s primary commercial corridors, just minutes from the historic and revitalized downtown district. With direct frontage on U.S. Highway 17 Business and easy access to the U.S. 17 Bypass, the property offers excellent regional connectivity — just 45 minutes from Hampton Roads and under an hour to the Outer Banks. The demand for high-quality senior living and assisted living options in North Carolina, and particularly in desirable costal regions, continues to expand.
The existing hospital building, while requiring adaptive reuse and renovation, offers a substantial footprint and robust infrastructure. This could potentially translate into significant cost and time efficiencies for developers, providing a solid foundation for a wide range of senior living models, from independent living apartments to assisted living wings, memory care units, and specialized rehabilitation facilities.
Nestled along the Pasquotank River, Elizabeth City is a hidden gem of northeastern North Carolina. Elizabeth City is a vibrant and growing community known for its rich history, scenic beauty, and welcoming atmosphere. As the largest city in the Albemarle region, it offers a strategic location with easy access to Hampton Roads, Virginia, and the Outer Banks — making it an ideal place to live, work, and explore. Known as the “Harbor of Hospitality,” Elizabeth City embraces its maritime heritage while actively investing in its future. The city supports a diverse economy with opportunities in sectors like advanced manufacturing, aerospace, defense, healthcare, and education. With a growing regional airport, access to the Intracoastal Waterway, and a focus on economic development, the city is well-positioned for continued growth.