GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT


Address: 1045 North Main Street, Rocky Mount, VA 24151
Phone: 5404839559

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 240 VA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA 004947339 05

Other Provider/Organization Names

Other Name Type Code
Goodwill Industries of the Valleys Southern Division Doing Business As Name - Organization

Office Location

Street Address 1045 NORTH MAIN STREET
City ROCKY MOUNT
State VA
Zip Code 24151

Providers in the same zip code

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
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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
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

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 ROCKY MOUNT
Zip Code 24151

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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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