Organization Active NPI

Candis Assisted Living

  • Assisted Living Facility
  • Roanoke, VA
National Provider Identifier
1063399418
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANDIS ASSISTED LIVING
Practice address
1619 Hanover Ave NW
Roanoke, VA 24017-4023
Phone
(540) 343-8640
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Cheryl Twine
Title
Owner/Ceo
Phone
(540) 314-6692

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1619 Hanover Ave NW
Roanoke, VA 24017-4023

Mailing address

1619 Hanover Ave NW
Roanoke, VA 24017-4023
Phone (540) 343-8640

Other names 1

  • Candis Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1619 Hanover Ave NW
Roanoke, VA 24017
Phone (540) 343-8640

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1063399418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 HANOVER AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174023",
            "telephone_number": "540-343-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 HANOVER AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174023",
            "telephone_number": "540-343-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDIS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "TWINE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "540-314-6692"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candis Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2025; 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.