DECORUM HEALTH SERVICES
NPI 1629699913
Nurse Practitioner - Gerontology in Salem, VA

Active since April 28, 2020CLIA 49D2310558 · Waiver
3615 W MAIN ST, SALEM, VA 24153(540) 378-9772 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Decorum Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECORUM HEALTH SERVICES (NPI 1629699913) is a healthcare organization registered as a gerontology in Salem, Virginia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through September 4, 2026, maintains a secondary practice location in Rich Creek, and lists Tracy L Zikes, Authorized Official President, as its authorized official.

NPPES Registry Identity

NPI1629699913
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameDECORUM HEALTH SERVICES
Location Address3615 W MAIN STSalem, VA 24153-1961
Mailing AddressPo Box 31494Henrico, VA 23294-1494 · (540) 392-3699
Organization SubpartNo
Authorized OfficialTracy L ZikesAuthorized Official President · (540) 392-3699
Enumeration DateApril 28, 2020
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedApril 28, 2020
NPI 1629699913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3615 W MAIN ST, Salem, VA 24153

Secondary Practice Location 1

Location 1120 Old Virginia AveRich Creek, VA 24147-9669 · Phone (540) 726-2328

Other Identifiers 1

Other0024172938VA · Medical License Virginia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2310558

Decorum Health Serv Dba You & Improved Health & Wellness · Christiansburg, VA
Active · expires Sep 4, 2026
CLIA Number49D2310558
Laboratory TypeHealth & Welless
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorTracy L. Zikes
Laboratory Phone(540) 392-3699
Laboratory LocationDecorum Health Serv Dba You & Improved Health & Wellness404 Roanoke Street, Christiansburg, VA 24073
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
3615 W MAIN ST
SALEM, VA 24153
Occupational Therapy Assistant
3615 W MAIN ST
SALEM, VA 24153
Occupational Therapy Assistant
3615 W MAIN ST
SALEM, VA 24153
Occupational Therapist
3615 W MAIN ST
SALEM, VA 24153
Physical Therapy Assistant
3615 W MAIN ST
SALEM, VA 24153
Nurse Practitioner (Family)
3615 W MAIN ST
SALEM, VA 24153
Skilled Nursing Facility
3615 W MAIN ST
SALEM, VA 24153
Physical Therapist
3615 W MAIN ST
SALEM, VA 24153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decorum Health Services's NPI number?

The NPI number for Decorum Health Services is 1629699913. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Decorum Health Services located?

Decorum Health Services is located at 3615 W Main St, Salem, VA 24153. The listed phone number is (540) 378-9772.

What is Decorum Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Decorum Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2310558) is associated with this NPI, valid through September 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Decorum Health Services was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.