Appalachian Community Action and Development Agency, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705100296 Issued in VA

Legal business name

APPALACHIAN COMMUNITY ACTION AND DEVELOPMENT AGENCY, INC.

Practice address

175 Military LN
Gate City, VA 24251-2874

Phone

(276) 452-2441

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Burrill

Title

Agency Planner

Phone

(276) 452-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1023504388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242510279",
            "telephone_number": "276-452-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MILITARY LN",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242512874",
            "telephone_number": "276-452-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN COMMUNITY ACTION AND DEVELOPMENT AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BURRILL",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "AGENCY PLANNER",
        "authorized_official_telephone_number": "276-452-2441"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705100296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Gate City, VA
• Providers in Gate City, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.