Organization Active NPI

North Roanoke Assisted Living

  • Assisted Living Facility
  • Roanoke, VA
National Provider Identifier
1003984840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTH ROANOKE ASSISTED LIVING
Practice address
6910 Williamson Rd
Roanoke, VA 24019-4229
Phone
(540) 265-2173
Fax
(540) 777-1999
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Catherine L Sutphin, MSW
Title
Adminiostrator
Phone
(540) 265-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X VA Primary

Addresses

Primary practice location

6910 Williamson Rd
Roanoke, VA 24019-4229

Mailing address

6910 Williamson Rd
PO Box 19419
Roanoke, VA 24019-4229
Phone (540) 265-2173

National Provider Directory

National Provider Directory

Locations

6910 Williamson Rd
Roanoke, VA 24019
Phone (540) 265-2173

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003984840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 WILLIAMSON RD",
            "address_2": "PO BOX 19419",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194229",
            "telephone_number": "540-265-2173",
            "fax_number": "540-777-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194229",
            "telephone_number": "540-265-2173",
            "fax_number": "540-777-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ROANOKE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTPHIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINIOSTRATOR",
        "authorized_official_telephone_number": "540-265-2173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.