NPIMap

Organization Active NPI

Mount Rogers Community Services

  • Intellectual Disabilities Intermediate Care Facility
  • Wytheville, VA
National Provider Identifier
1871123729
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MOUNT ROGERS COMMUNITY SERVICES
Practice address
795 Fairview Rd
Wytheville, VA 24382-4501
Phone
(276) 223-3200
Fax
(276) 223-0617
NPI assigned
Jan 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Lisa B Martin
Title
Reimbursement Manager
Phone
(276) 223-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

795 Fairview Rd
Wytheville, VA 24382-4501

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3200

Other names 1

  • Green Valley Intermediate Care Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Rogers Community5 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

795 Fairview Rd
Wytheville, VA 24382
Phone (276) 223-3200

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1871123729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821187",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FAIRVIEW RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824501",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ROGERS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "276-223-3200"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Intermediate Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.