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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251T00000X | PACE Provider Organization | VA | Agencies |
Other Name | Type Code |
---|---|
InnovAge Virginia PACE - Roanoke Valley | Doing Business As Name - Organization |
Street Address |
5251 CONCOURSE DR |
City | ROANOKE |
State | VA |
Zip Code | 24019-3081 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
Find all providers in zip 24019 |
Taxonomy Code | 251T00000X |
Grouping | Agencies |
Classification | PACE Provider Organization |
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] |
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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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.