BERRY MENTAL SUPPORT SERVICES


Address: 5307 Twilight Rd, Roanoke, VA 24019-2521
Phone: 5403971407

BERRY MENTAL SUPPORT SERVICES (NPI# 1477790038) 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) 1477790038
Entity Type Organization
Organization Name BERRY MENTAL SUPPORT SERVICES
Practice Address 5307 Twilight Rd
Roanoke
VA 24019-2521
Mailing Address Po Box 14172
Roanoke
VA 24038-4172
Practice Telephone 5403971407
Mailing Telephone 5403971407
Enumeration Date 2009-01-19
Last Update Date 2009-01-19
Authorized Official Name ROBIN KAREN BERRY (COO)
Authorized Official Telephone 5403971407
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness VA Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities BERRY MENTAL SUPPORT SERVICES LLC 5307 Twilight Rd, Roanoke, Virginia 24019

Office Location

Street Address 5307 TWILIGHT RD
City ROANOKE
State VA
Zip Code 24019-2521

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1811180458 Dominion Youth Services Community Based Residential Treatment Facility, Mental Illness 7002 Dallas Rd, Roanoke, VA 24019-1510 2007-08-27
1598963548 Cee-breeze Personal Care Services, Inc. Community Based Residential Treatment Facility, Mental Illness 410 Elm Ave Sw, Roanoke, VA 24016-3920 2007-07-10

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Competitor

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City ROANOKE
Zip Code 24019

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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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