NPIMap

Organization Active NPI

Community Alternatives Virginia, Inc.

  • Community/Behavioral Health Agency
  • Forest, VA
National Provider Identifier
1194020370
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ALTERNATIVES VIRGINIA, INC.
Practice address
2201 Graves Mill Rd
Suite C
Forest, VA 24551-4294
Phone
(502) 394-2100
NPI assigned
Jan 19, 2011
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Mary A Pank
Title
Parlaegal
Phone
(502) 394-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2201 Graves Mill Rd
Suite C
Forest, VA 24551-4294

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (502) 394-2100

Other names 1

  • Blue Ridge Residential Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Alternatives Virginia Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

2201 Graves Mill Rd
Ste C
Forest, VA 24551

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1194020370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-394-2100",
            "fax_number": "502-394-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GRAVES MILL RD",
            "address_2": "SUITE C",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514294",
            "telephone_number": "502-394-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVES VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "PANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARLAEGAL",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Residential Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.