NPIMap

Organization Active NPI

Goodwill Industries of the Valleys

  • Developmentally Disabled Services Day Training Agency
  • Staunton, VA
National Provider Identifier
1518360775
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
240 Issued in VA
Legal business name
GOODWILL INDUSTRIES OF THE VALLEYS
Practice address
1106 Greenville Ave Ste C
Staunton, VA 24401-5075
Phone
(540) 581-0620
Fax
(540) 581-0628
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mr. Bruce Phipps
Title
Ceo
Phone
(540) 581-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 240 VA Primary

Addresses

Primary practice location

1106 Greenville Ave Ste C
Staunton, VA 24401-5075

Mailing address

2502 Melrose Ave NW
Roanoke, VA 24017-3910
Phone (540) 581-0620

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of the Valleys4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1106 Greenville Ave
Ste C
Staunton, VA 24401
Phone (540) 581-0620

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1518360775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MELROSE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240173910",
            "telephone_number": "540-581-0620",
            "fax_number": "540-581-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 GREENVILLE AVE STE C",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015075",
            "telephone_number": "540-581-0620",
            "fax_number": "540-581-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE VALLEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-581-0620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.