ROANOKE RESOURCE LLC
NPI 1104170679
Community/Behavioral Health in Roanoke, VA
NPI Status: Active since November 05, 2012
Contact Information
402 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 400-7431
Fax: (540) 400-7091
- Organization
- Community/Behavioral Health
- CLIA Number: 49D2217511
- CLIA Cert. Type: Other - BEHAVIORAL HEALTH
- CLIA Exp. Date: 03-21-2027
About ROANOKE RESOURCE LLC
This page provides the complete NPI Profile along with additional information for Roanoke Resource Llc, a provider established in Roanoke, Virginia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104170679 assigned on November 2012. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Celia Lea Mccauley-wittl Dnp, Fnp, Pmhnp (Operations Coordinator)
- NPI
- 1104170679
- Provider Name
- ROANOKE RESOURCE LLC
- Entity Type
- Organization
- Location Address
- 402 CAMPBELL AVE SW ROANOKE, VA 24016
- Location Phone
- (540) 400-7431
- Location Fax
- (540) 400-7091
- Mailing Address
- 402 CAMPBELL AVE SW ROANOKE, VA 24016
- Mailing Phone
- (540) 400-7431
- Mailing Fax
- (540) 400-7091
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2012
- Last Update Date
- 01-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2217511
- Facility Type
- Other - BEHAVIORAL HEALTH
- Certificate Effective Date
- March 22, 2025
- Certificate Expiration Date
- March 21, 2027
- Laboratory Director
- CELIA L. MCCAULEY-WITTL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Roanoke Resource Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104170679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
ROANOKE, VA 24016
ROANOKE, VA 24016
ROANOKE, VA 24016
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104170679, enumerated as an "organization" on November 05, 2012.
The provider is located at 402 CAMPBELL AVE SW ROANOKE, VA 24016 and the phone number is (540) 400-7431.
Community/Behavioral Health with taxonomy code 251S00000X.
