Roanoke Resource LLC
NPI 1104170679 · Community/Behavioral Health Agency · Roanoke, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roanoke Resource LLC is a Community/Behavioral Health Agency organization in Roanoke, VA (NPI 1104170679).
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
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
Mailing address
Registry dates
- Enumerated
- 2012-11-05
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Roanoke Resource LLC's NPI number?
- Roanoke Resource LLC's National Provider Identifier (NPI) is 1104170679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roanoke Resource LLC?
- Roanoke Resource LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Roanoke Resource LLC located?
- Roanoke Resource LLC's practice location on file with NPPES is 402 Campbell Ave Sw, Roanoke, VA 24016-3627.
- What is Roanoke Resource LLC's phone number?
- The practice phone number listed in the NPPES registry for Roanoke Resource LLC is (540) 400-7431.
- Does Roanoke Resource LLC accept Medicare?
- Roanoke Resource LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roanoke Resource LLC?
- The authorized official listed on Roanoke Resource LLC's NPPES record is Celia Mccauley-Wittl, Operations Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roanoke Resource LLC's NPI active?
- Yes — Roanoke Resource LLC's NPI (1104170679) is active in the NPPES registry as of the last update on 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.