Organization Active NPI

It'S About Time, Inc

  • Developmentally Disabled Services Day Training Agency
  • Roanoke, VA
National Provider Identifier
1093967416
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1113-02-006 Issued in VA
Legal business name
IT'S ABOUT TIME, INC
Practice address
1316 S Jefferson St
Roanoke, VA 24016-4953
Phone
(540) 206-2367
Fax
(540) 226-7640
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Ms. Mitzi Jayne Tuck, BSW QMRP
Title
Ceo/ Owner
Phone
(540) 206-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1113-02-006 VA Primary

Addresses

Primary practice location

1316 S Jefferson St
Roanoke, VA 24016-4953

Mailing address

1316 S Jefferson St
Roanoke, VA 24016-4953
Phone (540) 206-2367

National Provider Directory

National Provider Directory

Locations

1316 S Jefferson St
Roanoke, VA 24016
Phone (540) 345-4230

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1093967416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164953",
            "telephone_number": "540-206-2367",
            "fax_number": "540-226-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164953",
            "telephone_number": "540-206-2367",
            "fax_number": "540-226-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT'S ABOUT TIME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "540-206-2367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW QMRP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1113-02-006",
            "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 Oct 16, 2008; 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.