Active NPI
Adult Care Center of Roanoke Valley Inc.
- Adult Day Care Clinic/Center
- Salem, VA
National Provider Identifier
1033514658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087302292 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.