NPIMap

Organization Active NPI

Tree of Life Family Services, LLC

  • Community/Behavioral Health Agency
  • Aldie, VA
National Provider Identifier
1265947550
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6633310 Issued in DE
Legal business name
TREE OF LIFE FAMILY SERVICES, LLC
Practice address
42273 Canary Grass SQ
Aldie, VA 20105-5706
Phone
(703) 798-0767
NPI assigned
Dec 7, 2017
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Mrs. Zamira Keating, QMHPNPI 1740831452
Title
Chief Financial Officer
Phone
(347) 466-1587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6633310 DE Primary

Addresses

Primary practice location

42273 Canary Grass SQ
Aldie, VA 20105-5706

Mailing address

42273 Canary Grass SQ
Aldie, VA 20105-5706
Phone (703) 798-0767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1265947550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42273 CANARY GRASS SQ",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055706",
            "telephone_number": "703-798-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42273 CANARY GRASS SQ",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055706",
            "telephone_number": "703-798-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "ZAMIRA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "347-466-1587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "6633310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.