ADULT CARE CENTER OF ROANOKE VALLEY INC. (NPI# 1033514658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033514658 |
| Entity Type | Organization |
| Organization Name | ADULT CARE CENTER OF ROANOKE VALLEY INC. |
| Practice Address |
2321 Roanoke Blvd Salem VA 24153-6456 |
| Practice Telephone | 5409812350 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | MRS. SUE NUTTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5409812350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ADC1103671 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0087302292 | 05 |
| Street Address |
2321 ROANOKE BLVD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
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| 1518964006 | Community Residence, Inc. | Custodial Care Facility | 1207 E Roosevelt St, Salem, MO 65560-9676 | 2005-06-30 |
| 1679615330 | Stay Well Ahdc, Inc. | Custodial Care Facility | 45 Congress St, Salem, MA 01970-5579 | 2007-02-12 |
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| 1184262602 | Hagir Hassan Suliman Eldmiyati | Custodial Care Facility | 1916 N Parham Rd, Richmond, VA 23229-4023 | 2019-12-16 |
| 1073160578 | All People Home LLC | Custodial Care Facility | 8213 Calm Pond Ct, Manassas Park, VA 20111-2343 | 2019-08-20 |
| 1033693395 | Daniels Residential Living | Custodial Care Facility | 315 W Constance Rd # 252, Suffolk, VA 23434-4968 | 2018-09-21 |
| 1063964831 | Caring Hands Healthcare Inc | Custodial Care Facility | 6223 Greeley Blvd, Springfield, VA 22152-1941 | 2016-10-27 |
| 1376092502 | Anab Jibril | Custodial Care Facility | 11249 Kessler Pl, Manassas, VA 20109-7778 | 2016-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.