Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as RCHD Infant and Toddler Connection of Roanoke Valley

  • Early Intervention Provider Agency
  • Roanoke, VA
National Provider Identifier
1992039499
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Doing business as
RCHD Infant and Toddler Connection of Roanoke Valley
Practice address
1502 Williamson Rd NE
2ND Floor
Roanoke, VA 24012-5130
Phone
(540) 283-5050
Fax
(540) 857-7316
NPI assigned
Sep 30, 2009
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mrs. Vivian Penn-Timity
Title
Business Manager C
Phone
(540) 283-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1502 Williamson Rd NE
2ND Floor
Roanoke, VA 24012-5130

Mailing address

1502 Williamson Rd NE
2ND Floor
Roanoke, VA 24012-5130
Phone (540) 283-5050

Other names 1

  • RCHD Infant and Toddler Connection of Roanoke Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1502 Williamson Rd NE
Fl 2
Roanoke, VA 24012
Phone (540) 204-9441

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1992039499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE",
            "address_2": "2ND FLOOR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125130",
            "telephone_number": "540-283-5050",
            "fax_number": "540-857-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE",
            "address_2": "2ND FLOOR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125130",
            "telephone_number": "540-283-5050",
            "fax_number": "540-857-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "PENN-TIMITY",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER C",
        "authorized_official_telephone_number": "540-283-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCHD Infant and Toddler Connection of Roanoke Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2017; 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.