INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC


Address: 5251 Concourse Dr, Roanoke, VA 24019-3081
Phone: 5409042817

INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC (NPI# 1346684974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346684974
Entity Type Organization
Organization Name INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC
Other Organization Name INNOVAGE VIRGINIA PACE - ROANOKE VALLEY
Practice Address 5251 Concourse Dr
Roanoke
VA 24019-3081
Practice Telephone 5409042817
Practice Fax Number 5406825946
Mailing Telephone 5409042817
Mailing Fax Number 5406825946
Enumeration Date 2013-04-25
Last Update Date 2018-04-13
Authorized Official Name MR. JOSH D. MCGILLIARD (REGIONAL EXECUTIVE DIRECTOR)
Authorized Official Telephone 5405956563
Is Organization Subpart Y
Parent Organization Name TOTAL COMMUNITY OPTIONS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization VA Agencies

Other Provider/Organization Names

Other Name Type Code
InnovAge Virginia PACE - Roanoke Valley Doing Business As Name - Organization

Office Location

Street Address 5251 CONCOURSE DR
City ROANOKE
State VA
Zip Code 24019-3081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740758051 Susan Noble Dietitian, Registered 5251 Concourse Dr, Roanoke, VA 24019-3081 2018-11-05
1780115089 Angela Cool Bedwell Nurse Practitioner 5251 Concourse Dr, Roanoke, VA 24019 2017-03-27

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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871951376 True Select, LLC PACE Provider Organization 3949 Pender Dr., Suite 230, Fairax, VA 22030 2016-01-29
1780059840 The Long Advocacy Group PACE Provider Organization 483 Main Street, Warsaw, VA 22572 2015-12-01
1629410402 Born Again Ministries PACE Provider Organization 2545 Murray Ave, Norfolk, VA 23518-4521 2013-07-22
1407296957 Charlottesville Area Retirement Service, Inc. PACE Provider Organization 1335 Carlton Ave, Charlottesville, VA 22902-5813 2013-06-28
1033483839 Inovacares for Seniors PACE Provider Organization 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 2012-02-27
1194098848 Riverside Retirement Service PACE Provider Organization 439 Oriana Road, Newport News, VA 23608 2012-02-10
1447537758 Riverside Retirement Service, Inc PACE Provider Organization 319 Brown St, Petersburg, VA 23803-4247 2011-11-15
1952547614 Due Season Hospice and Homecare Agency, Inc PACE Provider Organization 3806 Chamberlayne Ave Ste 18a, Richmond, VA 23227-4110 2008-12-31
1366629610 Wise Enterprise, Incorporated PACE Provider Organization 4895 Burnham Rd, Richmond, VA 23234-3711 2008-01-29
1184807661 Mountain Empire Older Citizens, Inc. PACE Provider Organization 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 2007-12-07
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Competitor

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City ROANOKE
Zip Code 24019

Improve Information

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Dataset Information

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.

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