Organization Active NPI

Sheltered Workshop of Altavista

  • Developmentally Disabled Services Day Training Agency
  • Lynchburg, VA
National Provider Identifier
1669488086
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1312-02-006 Issued in VA
Legal business name
SHELTERED WORKSHOP OF ALTAVISTA
Practice address
1030 McConville Road
Suite 7
Lynchburg, VA 24502
Phone
(434) 237-2432
Fax
(434) 237-2359
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Mr. David Alan Taylor
Title
Executive Director
Phone
(434) 237-2432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1312-02-006 VA Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1030 McConville Road
Suite 7
Lynchburg, VA 24502

Mailing address

1030 McConville Road
Suite 7
Lynchburg, VA 24502
Phone (434) 237-2432

Other identifiers 1

IdentifierTypeStateIssuer
4946961MedicaidVA

Other names 2

  • EMPOWER Day Support of Central Virginia Doing business as
  • Sheltered Workshop of Altavista Former legal business name

National Provider Directory

National Provider Directory

Locations

417 Washington St
Altavista, VA 24517

1030 McConville Rd
Ste 7
Lynchburg, VA 24502
Phone (434) 237-2432

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1669488086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MCCONVILLE ROAD",
            "address_2": "SUITE 7",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-2432",
            "fax_number": "434-237-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MCCONVILLE ROAD",
            "address_2": "SUITE 7",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-2432",
            "fax_number": "434-237-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED WORKSHOP OF ALTAVISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-237-2432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1312-02-006",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4946961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPOWER Day Support of Central Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheltered Workshop of Altavista",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.