INTREPID OF PIEDMONT RIDGE, INC. (NPI# 1487104428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104428 |
| Entity Type | Organization |
| Organization Name | INTREPID OF PIEDMONT RIDGE, INC. |
| Other Organization Name | INTREPID USA HOSPICE |
| Practice Address |
4005 Electric Rd Ste 200 Roanoke VA 24018-8435 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 5405231160 |
| Practice Fax Number | 5402652416 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453950 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | JOHN M NIX (CFO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSP 17230 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245596543 | Intrepid of Piedmont Ridge, Inc. | Hospice Care, Community Based | 101 W Main St, Radford, VA 24141-1582 | 2012-04-11 |
| Street Address |
4005 ELECTRIC RD STE 200 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-8435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1205119542 | Cinta Healthcare LLC | Hospice Care, Community Based | 3241 Electric Rd Bldg D, Roanoke, VA 24018-6405 | 2011-09-22 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1710925227 | Countryside Hospice Care Inc | Hospice Care, Community Based | 3355 Highway 431, Suite 3, Roanoke, AL 36274-2723 | 2006-06-04 |
| 1104879881 | Medi Home Health Agency, Inc | Hospice Care, Community Based | 4419 Pheasant Ridge Rd Ste 201, Roanoke, VA 24014-5282 | 2006-05-17 |
| 1174581466 | Adventa Hospice, LLC | Hospice Care, Community Based | 5221 Valleypark Dr, Suite 2, Roanoke, VA 24019-3004 | 2006-05-03 |
| 1346208337 | Gentle Shepherd Hospice Inc. | Hospice Care, Community Based | 6045 Peters Creek Rd, Roanoke, VA 24019-4029 | 2006-05-02 |
| 1104882778 | Faith Homecare, Inc. | Hospice Care, Community Based | 60008 Highway 22, Roanoke, AL 36274-2419 | 2006-04-24 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1548268923 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 2408 Electric Rd, Roanoke, VA 24018-3523 | 2005-07-11 |
| Find all providers in ROANOKE | ||||
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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.