Organization Active NPI

Adult Care Center of Roanoke Valley Inc.

  • Adult Day Care Clinic/Center
  • Salem, VA
National Provider Identifier
1033514658
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADULT CARE CENTER OF ROANOKE VALLEY INC.
Practice address
2321 Roanoke Blvd
Salem, VA 24153-6456
Phone
(540) 981-2350
NPI assigned
Oct 24, 2014
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Mr. Mike Pyle
Title
Executive Director
Phone
(540) 981-2350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary
Adult Care Home Facility 311ZA0620X ADC1103671 VA

Addresses

Primary practice location

2321 Roanoke Blvd
Salem, VA 24153-6456

Mailing address

2321 Roanoke Blvd
Salem, VA 24153-6456

Other identifiers 1

IdentifierTypeStateIssuer
0087302292MedicaidVA

National Provider Directory

National Provider Directory

Locations

2321 Roanoke Blvd
Salem, VA 24153
Phone (540) 981-2350

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1033514658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536456",
            "telephone_number": "540-981-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT CARE CENTER OF ROANOKE VALLEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-981-2350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VA",
            "license": "ADC1103671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087302292",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.