Active NPI
Sheltered Workshop of Altavista
- Developmentally Disabled Services Day Training Agency
- Lynchburg, VA
National Provider Identifier
1669488086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 1312-02-006
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4946961 | Medicaid | VA |
Other names 2
- EMPOWER Day Support of Central Virginia
- Sheltered Workshop of Altavista
National Provider Directory
National Provider DirectoryLocations
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.