GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT (NPI# 1801993118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801993118 |
Entity Type | Organization |
Organization Name | GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT |
Other Organization Name | GOODWILL INDUSTRIES OF THE VALLEYS SOUTHERN DIVISION |
Practice Address |
1045 North Main Street Rocky Mount VA 24151 |
Mailing Address |
2502 Melrose Avenue Nw Suite A Roanoke VA 24017 |
Practice Telephone | 5404839559 |
Practice Fax Number | 5404830297 |
Mailing Telephone | 5405810620 |
Mailing Fax Number | 5405810628 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-05-29 |
Authorized Official Name | MR. BRUCE PHIPPS (PRESIDENT AND CEO) |
Authorized Official Telephone | 5405810620 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 240 | VA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 004947339 | 05 |
Other Name | Type Code |
---|---|
Goodwill Industries of the Valleys Southern Division | Doing Business As Name - Organization |
Street Address |
1045 NORTH MAIN STREET |
City | ROCKY MOUNT |
State | VA |
Zip Code | 24151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
Find all providers in zip 24151 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366871196 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 615 Tarboro St, Rocky Mount, NC 27801-5955 | 2013-11-02 |
1730512237 | Praises Mental Health Services Corporation | Day Training, Developmentally Disabled Services | 263 Franklin St Ste 5, Rocky Mount, VA 24151-1356 | 2013-08-20 |
1891936167 | East Carolina Behavioral Services | Day Training, Developmentally Disabled Services | 112 Browning Ln, Rocky Mount, NC 27804-9058 | 2009-03-17 |
1528271327 | Tri-county Industries, Inc. | Day Training, Developmentally Disabled Services | 1250 Atlantic Ave, Rocky Mount, NC 27801-2710 | 2007-05-08 |
1821469198 | Quality Care Solutions | Day Training, Developmentally Disabled Services | 301 S Church St, Suite 163, Rocky Mount, NC 27804-5755 | 2015-10-13 |
1851577761 | Lechris Adult Day Care, Inc. | Day Training, Developmentally Disabled Services | 130 Jones Rd, Rocky Mount, NC 27804-2349 | 2008-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043317 | Golgota Health Services Inc | Day Training, Developmentally Disabled Services | 4216 Evergreen Ln Ste 133, Annandale, VA 22003-3256 | 2020-11-05 |
1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
1730794603 | Momentum 180 LLC | Day Training, Developmentally Disabled Services | 700 Mobjack Pl Ste 201, Newport News, VA 23606-1957 | 2020-09-09 |
1285243626 | The Arc of Harrisonburg and Rockingham Inc. | Day Training, Developmentally Disabled Services | 620 Simms Ave, Harrisonburg, VA 22802-4813 | 2020-07-30 |
1316565351 | Riverside Counseling and Consulting | Day Training, Developmentally Disabled Services | 4 S 1st St, Richmond, VA 23219-3717 | 2020-07-07 |
1578185807 | Artis Transitions Inc | Day Training, Developmentally Disabled Services | 217 W Beverley St, Staunton, VA 24401-4206 | 2020-05-08 |
1063046159 | Progressive Steps Family Services LLC | Day Training, Developmentally Disabled Services | 700 Lombardy Ave Apt 7413, Newport News, VA 23606-3368 | 2020-02-27 |
1629602891 | The Gates of Beautiful LLC | Day Training, Developmentally Disabled Services | 7839 Ashton Ave, Manassas, VA 20109-2883 | 2020-02-26 |
1386288041 | Azarel Community Support, LLC | Day Training, Developmentally Disabled Services | 112 Brandon Rd, Richmond, VA 23224-1212 | 2019-11-05 |
1831732312 | The Branch Community Group | Day Training, Developmentally Disabled Services | 24293 Lankford Highway, Tasley, VA 23441 | 2019-10-28 |
Find all providers with the same taxonomy |
City | ROCKY MOUNT |
Zip Code | 24151 |
Please comment or provide details below to improve the information on GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT.
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.