Organization Active NPI

Rescue Mission of Roanoke Inc

  • Community Health Clinic/Center
  • Roanoke, VA
National Provider Identifier
1831054790
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
RESCUE MISSION OF ROANOKE INC
Practice address
321 Tazewell Ave SE
Roanoke, VA 24013-1445
Phone
(540) 904-5648
Fax
(540) 777-0113
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Scott Holt
Title
Clinic Manager
Phone
(540) 904-5648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

321 Tazewell Ave SE
Roanoke, VA 24013-1445

Mailing address

321 Tazewell Ave SE
Roanoke, VA 24013-1445
Phone (540) 904-5648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1831054790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 TAZEWELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240131445",
            "telephone_number": "540-904-5648",
            "fax_number": "540-777-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 TAZEWELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240131445",
            "telephone_number": "540-904-5648",
            "fax_number": "540-777-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUE MISSION OF ROANOKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "540-904-5648"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "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 Dec 22, 2025; 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.