PIEDMONT REGIONAL COMMUNITY SERVICES BOARD (NPI# 1477803070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477803070 |
Entity Type | Organization |
Organization Name | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
Other Organization Name | PIEDMONT HOME |
Practice Address |
26 Booker Road Martinsville VA 24112-2810 |
Mailing Address |
24 Clay Street Martinsville VA 24112-2810 |
Practice Telephone | 2766322584 |
Practice Fax Number | 2766323110 |
Mailing Telephone | 2766327128 |
Mailing Fax Number | 2766320127 |
Enumeration Date | 2012-09-12 |
Last Update Date | 2012-09-12 |
Authorized Official Name | JAMES M TOBIN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2766327128 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 03801005 | VA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 004945221 | 05 | |
VA | MEDICARE GROUP NUMBER | C04131 | 01 |
Other Name | Type Code |
---|---|
Piedmont Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619308129 | Piedmont Regional Community Services Board | Secured Medical Transport (VAN) | 24 Clay St, Martinsville, VA 24112-2810 | 2013-12-09 |
1699754010 | Piedmont Regional Community Services Board | Community/Behavioral Health | 24 Clay St, Martinsville, VA 24112-2810 | 2006-01-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD INC. | 24 Clay Street, Martinsville, Virginia 24112 |
Street Address |
26 BOOKER ROAD |
City | MARTINSVILLE |
State | VA |
Zip Code | 24112-2810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
Find all providers in zip 24112 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538297262 | Sycamore Rehabilitation Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 465 S Main St Ste 108, Martinsville, IN 46151-2161 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952905 | Amazing Hands Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25873 Kirkwood Sq, Chantilly, VA 20152-2086 | 2020-11-02 |
1568069987 | New Development Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4610 Milfax Rd, North Chesterfield, VA 23224-5604 | 2020-10-08 |
1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
1780281808 | Romco Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Scott St, Portsmouth, VA 23707-4001 | 2020-10-01 |
1710596051 | Dare To Dream Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2905 Steed Ct, Chesapeake, VA 23323-2843 | 2020-07-22 |
1780208660 | Excel Family Services of Virginia, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 | 2020-06-05 |
1366064313 | Monica Lotoria Ballou | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1345 N Main St, Danville, VA 24540-3721 | 2020-05-13 |
1790306934 | Serenity Residential Servicess, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6225 Wilmington Dr, Burke, VA 22015-3828 | 2020-04-28 |
1407483316 | Lighthouse Residential Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 | 2020-03-23 |
1457983538 | Rokel Health Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 | 2020-02-06 |
Find all providers with the same taxonomy |
City | MARTINSVILLE |
Zip Code | 24112 |
Please comment or provide details below to improve the information on PIEDMONT REGIONAL COMMUNITY SERVICES BOARD.
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.