Organization Active NPI

Lifting As We Climb Community Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Woodbridge, VA
National Provider Identifier
1265753875
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1328-003 Issued in VA
Legal business name
LIFTING AS WE CLIMB COMMUNITY SERVICES, LLC
Practice address
3058 PS Business Center Drive
Woodbridge, VA 22192
Phone
(571) 408-4291
NPI assigned
Jun 17, 2010
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy James
Title
Ceo
Phone
(202) 498-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1328-003 VA Primary

Addresses

Primary practice location

3058 PS Business Center Drive
Woodbridge, VA 22192

Mailing address

3058 PS Business Center Drive
Woodbridge, VA 22192
Phone (571) 408-4291

Other identifiers 1

IdentifierTypeStateIssuer
1328-003MedicaidVA

National Provider Directory

National Provider Directory

Locations

3058 Ps Business Center Dr
Woodbridge, VA 22192
Phone (571) 408-4291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1265753875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 PS BUSINESS CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "571-408-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 PS BUSINESS CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "571-408-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTING AS WE CLIMB COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-498-4408"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1328-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1328-003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.