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EHS SUPPORT SERVICES LLC NPI 1417072687


NPI Information

NPI: 1417072687
Provider Name: EHS SUPPORT SERVICES, LLC

Doing Business As: EHS, EMBRACE HEALTHY SOLUTIONS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 49D2220082

Address:
601 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 339-9195
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EHS SUPPORT SERVICES, LLC 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. EHS SUPPORT SERVICES, LLC NPI is 1417072687. The provider is registered as an organization entity type.
The provider Is Doing Business As Ehs, Embrace Healthy Solutions.

The provider's business location address is:

601 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016-531
Phone: (540) 339-9195
Fax: (540) 339-9197

The provider's authorized official is Charles Robert Clingenpeel .
The authorized official title is Director Of Finance and has the following contact phone number (540) 339-9195.

The CLIA number assigned to this NPI record is 49D2220082 - other - addiction & recovery svcs with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 12/6/2022.


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 Health717VIRGINIAYes

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
1010145023MEDICAIDVIRGINIA

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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