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DEPAUL COMMUNITY RESOURCES NPI 1063432995


NPI Information

NPI: 1063432995
Provider Name: DEPAUL COMMUNITY RESOURCES

Former Legal Business Name: DEPAUL FAMILY SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5650 HOLLINS RD
ROANOKE, VA
ZIP 24019
Phone: (540) 265-8923
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DEPAUL COMMUNITY RESOURCES is a community behavioral health in Roanoke, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DEPAUL COMMUNITY RESOURCES NPI is 1063432995. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Depaul Family Services.

The provider's business location address is:

5650 HOLLINS RD
ROANOKE, VA
ZIP 24019-056
Phone: (540) 265-8923
Fax: (540) 206-1007

The provider's authorized official is Renee Brown .
The authorized official title is Ceo and has the following contact phone number (540) 265-8923.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 11/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health02305001VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004946413MEDICAIDVIRGINIA

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: 4/28/2024

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