VALLEY COMMUNITY SERVICES BOARD NPI 1124171376

NPI Information

NPI: 1124171376
Provider Name: VALLEY COMMUNITY SERVICES BOARD

Other Name: GREENSTONE RESIDENCE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 49D2069715

Address:
9 ANGUS DRIVE
WAYNESBORO, VA
ZIP 22980
Phone: (540) 887-3200
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VALLEY COMMUNITY SERVICES BOARD is an intermediate care facility mentally retarded in Waynesboro, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VALLEY COMMUNITY SERVICES BOARD NPI is 1124171376. The provider is registered as an organization entity type.
The provider Other Name Is Greenstone Residence.

The provider's business location address is:

9 ANGUS DRIVE
WAYNESBORO, VA
ZIP 22980
Phone: (540) 887-3200

The provider's authorized official is Melissa Doyle .
The authorized official title is Revenue Integrity Analyst and has the following contact phone number (540) 887-3200.

The CLIA number assigned to this NPI record is 49D2069715 - other - community mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/10/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		10501001	VIRGINIA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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
1	004968051	MEDICAID	VIRGINIA

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: 5/5/2024

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