Circle of Life Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CIRCLE OF LIFE SERVICES LLC

Practice address

25415 Cox Rd
North Dinwiddie, VA 23803-6509

Phone

(804) 481-3279

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Clorisse Pettaway

Title

Ceo

Phone

(804) 481-3279

Specialties & licenses 3

Addresses

Tax ID family

Circle of Life Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Circle of Life Services LLC

  • Nursing Care Agency
  • North Dinwiddie, VA
  • NPI 1841024866
  NPD tax ID

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1740048263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25415 COX RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036509",
            "telephone_number": "804-481-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25415 COX RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036509",
            "telephone_number": "804-481-3279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Leavenworth St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238032844",
            "country_code": "US",
            "telephone_number": "804-712-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCLE OF LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "PETTAWAY",
        "authorized_official_first_name": "CLORISSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-481-3279"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Bosworth, APRN
• Victoria Chandler, OTRL
• Changing Lives, LLC
• Samantha Chee, DDS
• Circle of Life Home Care Services, LLC
• Circle of Life Services LLC
• Carol Clay, PSY.D.
• Latrelle Coleman
• Shekayla Monae Coleman, LPN
• Kimberly Tanisha Davis-Biggs, PMHNP

• Developmentally Disabled Services Day Training Agency in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.