BREAD OF LIFE SOLUTIONS LLC NPI 1255181541

NPI Information

  • NPI: 1255181541
  • Provider Name: BREAD OF LIFE SOLUTIONS LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 2947 BRIERWOOD RD
    PETERSBURG, VA
    ZIP 23805
  • Phone: (804) 651-0473

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NPI Details

BREAD OF LIFE SOLUTIONS LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Petersburg, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BREAD OF LIFE SOLUTIONS LLC NPI is 1255181541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2947 BRIERWOOD RD
PETERSBURG, VA
ZIP 23805-946
Phone: (804) 651-0473

The provider's authorized official is Shauntae Cyrille .
The authorized official title is Owner and has the following contact phone number (804) 651-0473.

The enumeration date for this NPI number is 3/27/2024 and was last updated on 3/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2174200000XMealsNo
3177F00000XLodgingNo
4251B00000XCase ManagementNo
5251J00000XNursing CareNo
6251S00000XCommunity/Behavioral HealthNo
7253Z00000XIn Home Supportive CareNo
8320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
10385H00000XRespite CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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