MOUNT ROGERS COMMUNITY SERVICES (NPI# 1598381758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598381758 |
| Entity Type | Organization |
| Organization Name | MOUNT ROGERS COMMUNITY SERVICES |
| Practice Address |
56 Carroll House Ln Hillsville VA 24343-3648 |
| Mailing Address |
770 W Ridge Rd Wytheville VA 24382-1187 |
| Practice Telephone | 2767284301 |
| Practice Fax Number | 2767282415 |
| Mailing Telephone | 2762233200 |
| Mailing Fax Number | 2762230617 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | LISA B MARTIN (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2762233200 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT ROGERS COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carroll House Intermediate Care Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
| 1407991284 | Mount Rogers Community Services | Non-emergency Medical Transport (VAN) | 770 W Ridge Rd, Wytheville, VA 24382-1046 | 2007-02-20 |
| 1255365599 | Mount Rogers Community Services | Clinic/Center | 770 W Ridge Rd, Wytheville, VA 24382-1046 | 2006-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOUNT ROGERS COMMUNITY SERVICES | 494 Industrial Park Dr, Hillsville, VA 24343-3775 |
| Virginia Business Entities | MOUNT ROGERS COMMUNITY SERVICES INC. | 770 W Ridge Rd, Wytheville, Virginia 24382-1187 |
| Street Address |
56 CARROLL HOUSE LN |
| City | HILLSVILLE |
| State | VA |
| Zip Code | 24343-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745813 | Joshua Michael Harrod | Counselor | 1070 N. Main St., Ste A, Hillsville, VA 24343 | 2020-06-18 |
| 1831500040 | Family Preservation Services, Inc | Community/Behavioral Health | 180 W. Main Street, Hillsville, VA 24343 | 2014-05-12 |
| 1336434653 | Yvette Ladd | Pharmacist | 130 Volunteer Rd, Hillsville, VA 24343 | 2011-06-15 |
| 1710143532 | Carroll County Board of Supervisors | Ambulance | 499 Floyd Pike Highway, Hillsville, VA 24343 | 2008-07-31 |
| 1467633388 | Caroline Rosales Seager Wynne-roberts | Acupuncturist | 2477 Huff Hill Rd, Hillsville, VA 24343 | 2007-11-20 |
| 1922159581 | Virginia Highlands Orthopaedic Spine Center, LLC | Physical Therapist | 215 East Grayson Street, Hillsville, VA 24343 | 2007-01-12 |
| 1346328655 | Carroll County Health Dept Dental Clinic | Dentist | 605-15 Pine Street, Hillsville, VA 24343 | 2006-11-02 |
| 1740364751 | Marlon A Goad | Dentist | 1202 N Main St, Hillsville, VA 24343 | 2006-10-25 |
| 1295828408 | Phipps Enterprise Inc | Pharmacy | 185 South Main St, Hillsville, VA 24343 | 2006-10-02 |
| 1487747978 | Tommi Suszan Malavolti | Chiropractor | 1070 N Main Street, Hillsville, VA 24343 | 2006-10-02 |
| Find all providers in zip 24343 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057298 | Southwestern Virginia Training Center | Intermediate Care Facility, Mentally Retarded | 160 Training Center Rd, Hillsville, VA 24343-7328 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
| 1194379529 | Dignity Care Inc | Intermediate Care Facility, Mentally Retarded | 16654 Bolling Brook Ct, Woodbridge, VA 22191-4583 | 2019-07-24 |
| 1821657719 | Hampton-newport News Community Services Board | Intermediate Care Facility, Mentally Retarded | 1421 Aberdeen Rd, Hampton, VA 23666-4027 | 2019-06-13 |
| 1962069054 | Sunny Haven Residental Services | Intermediate Care Facility, Mentally Retarded | 114 Collinswood Dr, Staunton, VA 24401-1988 | 2019-05-23 |
| 1376042523 | Danville Pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 505 Keen St, Danville, VA 24540-4657 | 2018-02-02 |
| 1588021596 | Future Alliance LLC | Intermediate Care Facility, Mentally Retarded | 6010 N Crestwood Ave, Suite C, Richmond, VA 23230-2200 | 2016-01-21 |
| 1780052217 | Danville-pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 4769 Franklin Tpke, Danville, VA 24540-7807 | 2015-09-15 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1891105607 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 101 Avoca Ln, Altavista, VA 24517-1154 | 2014-05-01 |
| 1386072148 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 527 Riverview Road, Madison Heights, VA 24572-3728 | 2013-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HILLSVILLE |
| Zip Code | 24343 |
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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.