APPALACHIAN AGENCY FOR SENIOR CITIZENS (NPI# 1811109770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811109770 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN AGENCY FOR SENIOR CITIZENS |
| Other Organization Name | ALLCARE FOR SENIORS |
| Practice Address |
216 College Ridge Road Cedar Bluff VA 24609 |
| Mailing Address |
Po Box 765 Cedar Bluff VA 24609-0765 |
| Practice Telephone | 2769644915 |
| Practice Fax Number | 2769630130 |
| Mailing Telephone | 2769644915 |
| Mailing Fax Number | 2769630130 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | NETTIE REGINA SAYERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2769644915 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN AGENCY FOR SENIOR CITIZENS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | WLO-07-108ADC 95 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| AllCARE for Seniors | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | APPALACHIAN AGENCY FOR SENIOR CITIZENS INC. | Po Box 765, Cedar Bluff, Virginia 24609 |
| System for Award Management (SAM) Entities | APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC. | 216 College Ridge Rd Rt 19 Wardell Industrial Pk, Cedar Bluff, VA 24609 |
| Street Address |
216 COLLEGE RIDGE ROAD |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679119259 | Lindsey Wallace Kegley | Dietitian, Registered | 216 College Ridge Road, Cedar Bluff, VA 24609-2460 | 2019-11-19 |
| 1225524374 | Karen Lynn Harrison | Nurse Practitioner | 216 College Ridge Road, Cedar Bluff, VA 24609 | 2018-07-02 |
| 1487057568 | Lara Elaine Kiser | Nurse Practitioner | 216 College Ridge Road, Cedar Bluff, VA 24609-0765 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871951376 | True Select, LLC | PACE Provider Organization | 3949 Pender Dr., Suite 230, Fairax, VA 22030 | 2016-01-29 |
| 1780059840 | The Long Advocacy Group | PACE Provider Organization | 483 Main Street, Warsaw, VA 22572 | 2015-12-01 |
| 1629410402 | Born Again Ministries | PACE Provider Organization | 2545 Murray Ave, Norfolk, VA 23518-4521 | 2013-07-22 |
| 1407296957 | Charlottesville Area Retirement Service, Inc. | PACE Provider Organization | 1335 Carlton Ave, Charlottesville, VA 22902-5813 | 2013-06-28 |
| 1346684974 | Innovage Virginia Pace - Roanoke Valley, LLC | PACE Provider Organization | 5251 Concourse Dr, Roanoke, VA 24019-3081 | 2013-04-25 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1194098848 | Riverside Retirement Service | PACE Provider Organization | 439 Oriana Road, Newport News, VA 23608 | 2012-02-10 |
| 1447537758 | Riverside Retirement Service, Inc | PACE Provider Organization | 319 Brown St, Petersburg, VA 23803-4247 | 2011-11-15 |
| 1952547614 | Due Season Hospice and Homecare Agency, Inc | PACE Provider Organization | 3806 Chamberlayne Ave Ste 18a, Richmond, VA 23227-4110 | 2008-12-31 |
| 1366629610 | Wise Enterprise, Incorporated | PACE Provider Organization | 4895 Burnham Rd, Richmond, VA 23234-3711 | 2008-01-29 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
Please comment or provide details below to improve the information on APPALACHIAN AGENCY FOR SENIOR CITIZENS.
| 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.