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TREE OF LIFE SERVICES INC NPI 1912003591


NPI Information

NPI: 1912003591
Provider Name: TREE OF LIFE SERVICES INC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 49D2248599

Address:
3721 WESTERRE PKWY STE B
RICHMOND, VA
ZIP 23233
Phone: (804) 270-5484
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TREE OF LIFE SERVICES INC is a residential treatment facility physical disabilities in Richmond, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. TREE OF LIFE SERVICES INC NPI is 1912003591. The provider is registered as an organization entity type.

The provider's business location address is:

3721 WESTERRE PKWY STE B
RICHMOND, VA
ZIP 23233-332
Phone: (804) 270-5484
Fax: (804) 270-1220

The provider's authorized official is Nathan D Zasler .
The authorized official title is Ceo and has the following contact phone number (804) 270-5484.

The CLIA number assigned to this NPI record is 49D2248599 - other - residential rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesCLO06286VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1031796900MEDICAIDDISTRICT OF COLUMBIA

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: 4/28/2024

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