CANDIS ASSISTED LIVING NPI 1063399418

NPI Information

  • NPI: 1063399418
  • Provider Name: CANDIS ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1619 HANOVER AVE NW
    ROANOKE, VA
    ZIP 24017
  • Phone: (540) 343-8640

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NPI Details

CANDIS ASSISTED LIVING is an assisted living facility in Roanoke, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CANDIS ASSISTED LIVING NPI is 1063399418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 HANOVER AVE NW
ROANOKE, VA
ZIP 24017-023
Phone: (540) 343-8640

The provider's authorized official is Cheryl Twine .
The authorized official title is Owner/ceo and has the following contact phone number (540) 314-6692.

The enumeration date for this NPI number is 8/18/2025 and was last updated on 8/18/2025.

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
1164W00000XLicensed Practical NurseNo
2251E00000XHome HealthNo
3310400000XAssisted Living FacilityYes

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: 11/21/2025

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