GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT NPI 1801993118

NPI Information

  • NPI: 1801993118
  • Provider Name: GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: GOODWILL INDUSTRIES OF THE VALLEYS SOUTHERN DIVISION
  • Address: 1045 NORTH MAIN STREET
    ROCKY MOUNT, VA
    ZIP 24151
  • Phone: (540) 483-9559

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NPI Details

GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT is a day training developmentally disabled services in Rocky Mount, VA. The provider is 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. GOODWILL INDUSTRIES OF THE VALLEYS - ROCKY MOUNT NPI is 1801993118. The provider is registered as an organization entity type.
The provider Is Doing Business As Goodwill Industries Of The Valleys Southern Division.

The provider's business location address is:

1045 NORTH MAIN STREET
ROCKY MOUNT, VA
ZIP 24151
Phone: (540) 483-9559
Fax: (540) 483-0297

The provider's authorized official is Bruce Phipps .
The authorized official title is President And Ceo and has the following contact phone number (540) 581-0620.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services240VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004947339MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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