National Provider Identifier Database

GOODWILL INDUSTRIES OF THE VALLEYS ROANOKE
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE
2502 MELROSE AVENUE NW
ROANOKE, VA24017
Phone: 540-581-0620
Fax: 540-581-0628
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE

NPI Number 1427027341
Legal business name
LBN
GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE
Authorized official BRUCE PHIPPS - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 03/14/2006
Last updated 05/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 24002006
  • VA Medicaid: 004946928
  • VA Medicaid: 004947444

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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