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NPI Code Detail

MEDICARE: THE ARC OF THE PIEDMONT, INC.

MEDICARE: THE ARC OF THE PIEDMONT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityVA
2235500000XSpeech/Language/Hearing Specialist/TechnologistVA

General Provider Information

NPI Number : 1528182821
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ARC OF THE PIEDMONT, INC.
Provider Business Mailing Address
First Line : 509 PARK ST
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-4739
Country : US
Telephone Number : 434-977-4002
Fax Number :
Provider Business Practice Location Address
First Line : 509 PARK ST
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-4739
Country : US
Telephone Number : 434-977-4002
Fax Number : 434-977-7864
Authorized Official
Title or Position : FINANCE MANAGER
Name : MICHAEL Z. BOOTH
Credential :
Telephone Number : 434-977-4002
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/11/2025

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Directions to “THE ARC OF THE PIEDMONT, INC. ” Practice Location

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