Active NPI
New Roads Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Coeburn, VA
National Provider Identifier
1982713152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 45101001
- Legal business name
- NEW ROADS INC
- Practice address
- 12112 Driffield Drive
Coeburn, VA 24230 - Phone
- (276) 395-3925
- Fax
- (276) 395-5003
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Collins
- Title
- Vice President - Administrator
- Phone
- (276) 395-3925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 45101001 | VA | Primary |
Addresses
Primary practice location
12112 Driffield Drive
Coeburn, VA 24230
Mailing address
PO Box 1157
Coeburn, VA 24230-1157
Phone (276) 395-3925
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982713152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1157",
"city": "COEBURN",
"state": "VA",
"postal_code": "242301157",
"telephone_number": "276-395-3925",
"fax_number": "276-395-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12112 DRIFFIELD DRIVE",
"city": "COEBURN",
"state": "VA",
"postal_code": "24230",
"telephone_number": "276-395-3925",
"fax_number": "276-395-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ROADS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "VICE PRESIDENT - ADMINISTRATOR",
"authorized_official_telephone_number": "276-395-3925"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "45101001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.