GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE


Address: 2502 Melrose Avenue Nw, Roanoke, VA 24017
Phone: 5405810620

GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE (NPI# 1427027341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427027341
Entity Type Organization
Organization Name GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE
Practice Address 2502 Melrose Avenue Nw
Roanoke
VA 24017
Mailing Address 2502 Melrose Avenue Nw
Suite A
Roanoke
VA 24017
Practice Telephone 5405810620
Practice Fax Number 5405810628
Mailing Telephone 5405810620
Mailing Fax Number 5405810628
Enumeration Date 2006-03-14
Last Update Date 2015-05-29
Authorized Official Name MR. BRUCE PHIPPS (PRESIDENT AND CEO)
Authorized Official Telephone 5405810620
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 24002006 VA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA 004947444 05
VA 004946928 05

Office Location

Street Address 2502 MELROSE AVENUE NW
City ROANOKE
State VA
Zip Code 24017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083132450 Kuumba Community Health & Wellness Center, Inc. Pharmacy 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 2017-09-06
1467880484 Mitzi Cotton Social Worker 2021 Dansbury Drive, Roanoke, VA 24017 2013-10-30
1598002818 Stacey Queen Graham Occupational Therapist 4550 Shenadoah Ave, Roanoke, VA 24017 2013-01-07
1366760506 Tammy L Tomlinson Physical Therapist 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 2010-05-12
1588817712 Delphine Anita Childress Registered Nurse 2111 Temple Drive Nw, Roanoke, VA 24017 2008-10-31
1447471933 Cathy Lucas Physical Therapy Assistant 4550 Shenandoah Ave, Roanoke, VA 24017 2007-05-01
1134214968 Planned Parenthood South Atlantic Clinic/Center 2207 Peters Creek Rd Nw, Roanoke, VA 24017 2006-10-04
1871684902 Janet Susan Sprouse Counselor 1301 Peters Creek Rd Nw, Roanoke, VA 24017 2006-09-27
1497764906 B Alison Allsbrook Social Worker 3716 Melrose Avenue, Nw, Roanoke, VA 24017 2006-08-05
1558369827 Victor H Bell Family Medicine 3716 Melrose Ave Nw, Roanoke, VA 24017 2005-07-12
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194060541 St. Vincent's Home, Inc. Day Training, Developmentally Disabled Services 312 Whitwell Drive, Roanoke, VA 24019 2012-12-11
1700111002 Brain Injury Resource & Development Center, Inc. Day Training, Developmentally Disabled Services 923 14th St Se, Roanoke, VA 24013-2001 2009-10-05
1619147006 Randolph County Learning Center Day Training, Developmentally Disabled Services 1475 Main Street, Roanoke, AL 36274-0127 2008-03-03
1255442570 Blue Ridge Behavioral Healthcare Day Training, Developmentally Disabled Services 2708 Liberty Rd Nw, Roanoke, VA 24012-4745 2006-08-31
1093967416 It's About Time, Inc Day Training, Developmentally Disabled Services 1316 S Jefferson St, Roanoke, VA 24016-4953 2008-10-16
1821262643 Charlottesville League of Therapists Day Training, Developmentally Disabled Services 1420 3rd St Sw, Roanoke, VA 24016-5205 2008-04-14

Providers in the same taxonomy and state

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
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Competitor

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City ROANOKE
Zip Code 24017

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Dataset Information

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.

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