Mallory Midnight Service Center, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0251E00000X Issued in VA

Legal business name

MALLORY MIDNIGHT SERVICE CENTER, INC.

Practice address

306 W 6TH Ave
Lawrenceville, VA 23868-2008

Phone

(434) 848-2066

Fax

(434) 848-2119

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Leroy Mallory

Title

President

Phone

(434) 848-2066

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1871966945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 6TH AVE",
            "address_2": "P O BOX 606",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238682008",
            "telephone_number": "434-848-2066",
            "fax_number": "434-848-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 6TH AVE",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238682008",
            "telephone_number": "434-848-2066",
            "fax_number": "434-848-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY MIDNIGHT SERVICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-848-2066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "0251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "API",
            "identifier": "0153686081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Recovery & Wellness
• Larry Lewis
• Philip Lipton, RPH
• Rachel Liston
• Nicholas Lopashanski, RPH, PHARM D.
• Linda H Mangum, WHNP
• Gloria Marshall
• Paul Christopher Nowell
• James P O'Keefe, PSY.D.
• Omni Addiction Services

• Home Health Agency in Lawrenceville, VA
• Providers in Lawrenceville, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.