OrganizationActive
Roanoke Resource LLC
NPI 1104170679 · Community/Behavioral Health Agency · Roanoke, VA
Provider details
- NPI number
- 1104170679
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Celia Mccauley-Wittl, Operations Coordinator(540) 400-7431
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 Campbell Ave Sw
Roanoke, VA 24016-3627
Phone: (540) 400-7431
Fax: (540) 400-7091
Street-level locationGet directions
Mailing address
402 Campbell Ave Sw
Roanoke, VA 24016-3627
Registry dates
- Enumerated
- 2012-11-05
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.