Organization Active NPI

Austin-Miller Residential

  • Community/Behavioral Health Agency
  • Roanoke, VA
National Provider Identifier
1659523785
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
711-03-001 Issued in VA
Legal business name
AUSTIN-MILLER RESIDENTIAL
Practice address
3563 Brymoor Rd SW
Roanoke, VA 24018-2103
Phone
(540) 793-2076
Fax
(540) 387-0406
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Kirby Campbell
Title
Owner
Phone
(540) 556-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 711-03-001 VA Primary

Addresses

Primary practice location

3563 Brymoor Rd SW
Roanoke, VA 24018-2103

Mailing address

3563 Brymoor Rd SW
Roanoke, VA 24018-2103
Phone (540) 793-2076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1659523785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 BRYMOOR RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182103",
            "telephone_number": "540-793-2076",
            "fax_number": "540-387-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 BRYMOOR RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182103",
            "telephone_number": "540-793-2076",
            "fax_number": "540-387-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN-MILLER RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-556-2292"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "711-03-001",
            "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 21, 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.