NPIMap

Organization Active NPI

Merryfield

Doing business as Merryfield ICF-MR

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Covington, VA
National Provider Identifier
1144551144
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
127-01-011 Issued in VA
Legal business name
MERRYFIELD
Doing business as
Merryfield ICF-MR
Practice address
111 Horse Mountain VW
Covington, VA 24426-6402
Phone
(540) 962-7732
NPI assigned
Jan 15, 2010
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Edwina Andrews
Title
Reimbursement Manager
Phone
(540) 965-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 127-01-011 VA Primary

Addresses

Primary practice location

111 Horse Mountain VW
Covington, VA 24426-6402

Mailing address

205 E Hawthorne St
Covington, VA 24426-1620
Phone (540) 965-2135

Other names 1

  • Merryfield ICF-MR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alleghany Hghlnds Comm5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 Horse Mountain Vw
Covington, VA 24426
Phone (540) 962-7732

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1144551144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HAWTHORNE ST",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261620",
            "telephone_number": "540-965-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HORSE MOUNTAIN VW",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244266402",
            "telephone_number": "540-962-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "540-965-2135"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "127-01-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merryfield ICF-MR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merryfield ICF-MR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.