Organization Active NPI

Altruistic Life Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Petersburg, VA
National Provider Identifier
1649813478
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ALTRUISTIC LIFE SERVICES, INC.
Practice address
2443 Parkview Ave
Petersburg, VA 23803-4811
Phone
(804) 608-9759
NPI assigned
Oct 24, 2019
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Reno Legros
Title
Ceo
Phone
(804) 608-9759

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU

Addresses

Primary practice location

2443 Parkview Ave
Petersburg, VA 23803-4811

Mailing address

4222 Bonniebank Rd Ste 203
North Chesterfield, VA 23234-6632
Phone (804) 608-9759

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1649813478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 BONNIEBANK RD STE 203",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346632",
            "telephone_number": "804-608-9759",
            "fax_number": "833-252-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 PARKVIEW AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034811",
            "telephone_number": "804-608-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRUISTIC LIFE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "LEGROS",
        "authorized_official_first_name": "RENO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-608-9759"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.